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先天性脊柱侧凸伴截瘫的治疗

Treatment of congenital scoliosis associated with paraplegia

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【作者】 王殿臣胡贵新王林徐丽

【Author】 Wang Dianchen, Hu Guixin, Wang Lin, Xu Li (Department of Orthopaedics, The Hospital Affiliated to Hebei Provincial Professional Medical College, Baoding 071000)

【机构】 河北省职工医学院附属医院骨科

【摘要】 目的探讨2例脊柱侧凸致截瘫原因及治疗方法。方法例1行侧前方椎管减压同时切除后凸椎体后缘,凹侧哈氏棒矫形并植骨融合。例2首先经胸修补膨出的硬脊膜,再行U型棒矫形术。结果脊柱矫形术后侧凸畸形分别为Cobb角5°,20°,神经症状完全消失。结论对脊柱侧凸合并截瘫,椎管减压+矫形术是有效的疗法

【Abstract】 Objective To study the cause of paralysis of congenital scoliosis associated with paraplegia and its effective treating method. Methods One case was treated by reducing the pressure in the front of vertebral canal, cutting the posterior border of posterior prominence, and then putting Has stick on the fovea side and transplanting bones at the same time. The extended dura mater spinalis was repaired firstly through chest and conducted “U” type orthomorphia for another case. Results The nerve functions were recovered completely after the spinal orthomorphia, and the Cobbs angles of lateral fovea were 5° and 20° respectively. Conclusion Spinal orthomorphia combined with reducing the pressure in the vertebral canal is an effective way to treat congenital scoliosis associated with paraplegia.

  • 【文献出处】 临床骨科杂志 ,JOURNAL OF CLINICAL ORTHOPAEDICS , 编辑部邮箱 ,1998年01期
  • 【分类号】R682.3
  • 【下载频次】16
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