骨-椎间盘-骨截骨术治疗儿童先天性脊柱畸形
DOI:
作者:
作者单位:

郑州大学第三附属医院

作者简介:

通讯作者:

中图分类号:

基金项目:


Curative effect analysis of posterior spinal BDBO for congenital spinal deformity in young children.
Author:
Affiliation:

1.the Third Affiliated Hospital of Zhengzhou University;2.The Third Affiliated Hospital of Zhengzhou University

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 探讨脊柱后路椎体-椎间盘-椎体截骨术(Bone-Disc-Bone Osteotomy,BDBO)治疗儿童先天性脊柱畸形的疗效。方法 回顾性分析2003年01月~2017年06月本院32例行后路BDBO的先天性脊柱畸形患儿,年龄15天~15岁,平均(4.38±3.97)岁,术前、术后及末次随访时均行平卧位或站立位全脊柱正侧位X线片,测量侧凸及后凸Cobb角,记录手术时间、出血量及并发症情况。结果 平均手术时间(239.44±48.19)min,出血量(304.38±150.10)ml,随访2年~13年,平均(5.90±2.76)年。术前、术后、末次随访侧凸Cobb角分别为(40.13±18.27)°、(10.44±6.04)°、(8.84±6.98)°,后凸Cobb角为(29.72±20.66)°、(8.84±12.67)°、(5.91±16.55)°,术后及随访Cobb角与术前相比差异均有统计学意义(P<0.05)。所有患儿无脊髓损伤及椎弓根骨折,术后切口感染行内固定取出1例。结论 脊柱后路BDBO能有效治疗儿童先天性脊柱畸形,适合用于早期轻型先天性脊柱畸形及腰骶段半椎体,可避免固定髂骨。

    Abstract:

    Abstract: [Objective] To explore the effective of posterior spinal bone-disc-bone osteotomy (BDBO) for congenital spinal deformity in young children. [Methods]The clinical data of 32 young children with congenital spinal deformity treated with posterior BDBO method from January 2003 to June 2017 were analyzed retrospectively. These patients with a mean age of(4.38±3.97) years old (range: 15 days to 15 years old).The anteroposterior and lateral X-ray films of the whole spine in standing position or supine position were taken before operation,postoperative and the last follow-up.The correction of deformity was evaluated by measuring the angle of scoliosis and kyphosis (Cobb angle).The time of operations and intraoperative blood loss,the late complication were recorded.[Results]The mean operative duration and blood loss were (239.44±48.19)min and (304.38±150.10) ml. All the children were followed up for 2 to 13 years, with an average of (5.90±2.76)years. The mean preoperative, postoperative and the last follow-up Coronal Cobb angle were (40.13±18.27)°, (10.44±6.04)°, (8.84±6.98)°, kyphosis Cobb angle were (29.72±20.66)°, (8.84±12.67)°, (5.91±16.55)°.Statistical analysis showed that the differences between preoperative and postoperative were significant(P<0.05).No spinal cord injury or pedicle fracture occurred in all children. One case underwent internal fixation removal because of repeated incision infection and non-healing after operation. [Conclusions] Posterior spinal BDBO for congenital spinal deformities in children has a good effect. It is more suitable for early mild congenital spinal deformities and lumbosacral hemivertebra, and can avoid ilium fixation.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-09-09
  • 最后修改日期:2022-02-24
  • 录用日期:2022-05-30
  • 在线发布日期:
  • 出版日期: