【摘要】 1981年12月～1993年12月北京协和医院共收治成人脊柱侧弯患者153例,其中特发性侧弯81例,原发性侧弯43例,神经肌肉性侧弯20例,其它为9例。采用Harrington棒、Luque棒、Zielke器械及C-D棒对其进行矫正治疗,取得了满意的矫正效果。手术适应证为腰部疼痛,侧弯进行性发展,心肺功能障碍和神经功能障碍。术后并发症发生率为45.75％。最常见的问题为脱钩、断棍、伤口感染、假关节形成、泌尿系感染和一过性神经功能障碍。无截瘫发生,达到了脊柱良好平衡,解除疼痛和牢固融合的手术目的。更多还原

【Abstract】 The evaluation of 153 patients older than eighteen years was performed in whom scoliosis was the primary diagnosis. No patient had had prior surgical treatment. The diagnoses were idiopathic scoliosis (81 cases) , congenital scoliosis(43) ,neuromuscular spinal deformity(20) and others (9). The average age was 32. 2 years. At that time,Harrington rod.luque rod,Zielke instrumentation and C-D instru-mentation were applied to correct scoliosis. In the end, significant effect was achieved. The indications for operation were lumbar pain,progression of scoliotic curve,cardiopulmonary symptoms,neurologie dysfunction and cosmesis.Post-operative complications developed in 45. 75% of the patients. The most common problems were instrumentation problems,wound infection,pseudoarthrosis,urinary tract infection and transient neurologie dysfunctions. No patient had paraplegia. Thereby a well-balance of the spinal column, painlessness and a solid fusion were achieved.更多还原