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脊柱后凸

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The surgery consisted of one-stage posterior transpedicular eggshell technique, and then expanded the eggshell to the adjacent intervertebra including apex vertebra and both cephal and caudal wedge vertebra combined with their posterior elements, after completion of the VCR, instruments were added to achieve temporary stability.

均采用单纯后路扩大&蛋壳&技术切除侧后凸顶椎(包括顶椎邻近的头尾侧楔变的脊椎),截骨节段上下方各应用2~3对椎弓根螺钉固定,通过器械加压矫形关闭切除后形成的间隙观察手术前后侧后凸的矫正率、术中脊柱短缩、术后站立位身高变化及术后整体平衡情况。。

Once the rods are inserted, the lordotic alignment of the spine should be checked with theintraoperative lateral x-ray or image view, and compared to the preoperative lateral standing view.

植入棒后,应该通过术中侧位X线片或其他影像监视检查脊柱的前凸弧度并和术前站立位侧位片比

ResultsAlmost all the cases obtained a good clinical effect after the operation. The symptoms and signs were both relieved. Lumbar lordotic angle and intervertebral space height on radiology were restored obviously. Spinal fusion rate achieved 96.4% after the follow-up.

结果几乎所有患者手术后原症状和体征均得到缓解,影像学上的腰椎前凸角、椎间隙高度指数都有明显恢复,手术后6~26个月,脊柱融合率达到96.4%。

Using the distortion-compensated roentgen analysis method, disc height, dorsoentral displacement, and lordosis were measured in 212 unfused segments from 62 patients, on digitized standing radiographs taken before fusion surgery and after a mean follow-up of 7.5 years (range, 4-11 years).

在标准数字化X光片上,比较术前和术后平均7.5年(4-11年)后62个病人212个未融合节段的椎间盘高度、椎体滑脱及脊柱前凸的情况,可变的影响因素如年齡、随访时间的长度、融合水平、融合节段数、融合节段上下方向和手术前后椎管的改变,用重复测量模型进行分析。

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