张鹏;刘国辉;杨述华;郑启新;杜靖远;邵增务;陈东;肖飞;朱建福;

• 1:华中科技大学同济医学院附属协和医院骨科

摘要(Abstract)：

[目的]通过不同植骨在青少年特发性脊柱侧凸后路矫形植骨融合术中的应用比较,探讨其临床应用效果。[方法]回顾性分析2000年~2005年行后路钉-棒系统矫形手术的71例青少年特发性脊柱侧凸患者,其中自体骨移植21例(A组),同种异体骨移植23例(B组),自体骨混合同种异体骨移植27例(C组),比较随访第3、9、15、36个月的融合率、Cobb’s角丢失率及假关节发生率。[结果]A组平均融合节段7个,B组平均融合节段7.6个,C组平均融合节段8个。随访的第3个月,融合率、Cobb’s角丢失率及假关节发生率A组、B组、C组无显著性差异(P>0.05)。第9个月,A组融合率高于B、C两组,A组与B、C组有显著性差异(P<0.05),B、C组间无显著性差异(P>0.05),Cobb’s角丢失率及假关节发生率A、B、C组无显著性差异(P>0.05)。第15、36个月,融合率、Cobb’s角丢失率及假关节发生率A、B、C组无显著性差异(P>0.05)。[结论]同种异体骨移植、自体骨混合同种异体骨移植与自体骨移植在青少年特发性脊柱侧凸后路矫形手术中对维持矫形效果可取得相近的近远期临床效果。

关键词(KeyWords)： 骨移植;脊柱融合;特发性脊柱侧凸;青少年

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 张鹏;刘国辉;杨述华;郑启新;杜靖远;邵增务;陈东;肖飞;朱建福;

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参考文献(References)：

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