【摘要】 目的　探讨胸椎体楔形截骨在顶椎位于胸段脊柱侧凸矫形中的应用价值。方法　采用后路凸侧椎体楔形截骨、凹侧软组织松解、椎弓根系统内固定治疗胸段脊柱侧凸 2 3例 ,其中特发性脊柱侧凸畸形 2 0例 ,侧方半椎体畸形3例。共行截骨 2 9个椎体 ,T10 以上椎体截骨 14个 ,最高为T5椎体 ,T10 以下椎体截骨 15个。所有病例皆采用椎体冠状面楔形截骨。结果　术后随访平均 19.2个月 (4个月～ 36个月 )。术前Cobb角为 6 5°～ 110° ,平均为 74 .4°。术后测量的Cobb角为 10°～ 35° ,平均矫正率为 76 .5 % ;术后平均身高增长 4 .5cm。手术中失血为 80 0～ 82 0 0ml,平均170 0ml。术后皆无神经系统及其他方面的并发症。结论　单一后路椎体楔形截骨可有效矫正胸段脊柱侧凸更多还原

【Abstract】 Objective To evaluate the clinical value of thoracic wedge vertebrectomy for the treatment of scoliosis through the posterior approach. Methods 23 cases were treated with thoracic coronal plane wedge osteotomy, soft tissue brisement and pedicle fixation (20 cases of idiopathic scoliosis and 3 cases of congential unilateral hemivertebra). 29 vertebrectomy were done. 14 vertebrae were above T 10 , The others were below T 10 , the highest one is T 5. Results The mean follow-up was 19.2 months(rangs from 4 to 36 months).The preoperative, postoperative Cobb angle was 65°～110°(mean 74.4° ) , 10°～35° respectively and correction rate was 76.5%. The patients were 4.5cm taller on average after operation. The blood loss was 800ml to 8200ml(mean 1700ml). No neurologic complications arose. Conclusion The scoliosis deformity can be corrected effectively by wedge vertebrectomy.更多还原