朱锋;邱勇;王斌;俞杨;朱泽章;钱邦平;马薇薇;

• 1:南京大学医学院附属鼓楼医院脊柱外科
• 2:南京大学医学院附属鼓楼医院脊柱外科
• 3:南京大学医学院附属鼓楼医院脊柱外科
• 4:南京大学医学院附属鼓楼医院脊柱外科

摘要(Abstract)：

[目的]探讨脊柱侧凸后路CDH Legacy在脊柱侧凸后路矫形中的应用及其矫形效果。[方法]2003年7~8月,共有9例患者接受后路CDH Legacy矫形内固定加植骨融合手术,其中女7例,男2例;年龄11~18岁,平均13.5岁。病因学分类:青少年特发性脊柱侧凸(AIS)7例,先天性脊柱侧凸(CS)1例,神经纤维瘤病伴脊柱侧凸(NFl)1例。术前Cobb's角48°~68°,平均54°。7例AIS和1例CS患者直接行一期后路CDH Legacy矫形内固定术,另1例NFl因Risser为0,先行一期前路骨骺阻滞再行二期后路CDH Legacy矫形固定。[结果]本组无死亡、感染,无神经系统并发症。未发生术中骨折及脊膜胸膜损伤。1例并发肠系膜上动脉综合征,给予禁食等保守治疗后症状缓解。手术时间210~300min,平均260min;出血量300~1000ml,平均700ml。术后Cobb's角平均20°,矫正率63%。本组随访20~30个月,平均23个月,随访1年时均获得骨性融合,无额状面或矢状面失偿,纠正丢失4°,纠正丢失率7.4%。[结论]CDH Legacy在矫形效果与以往第3代内固定系统无明显差异,有操作简便、内固定牢固和选择多样性的特点。

关键词(KeyWords)： 内固定;脊柱融合;脊柱侧凸

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 朱锋;邱勇;王斌;俞杨;朱泽章;钱邦平;马薇薇;

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参考文献(References)：

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