【摘要】 目的探讨治疗青少年先天性半椎体脊柱侧凸畸形的手术方法及治疗效果。方法对19例先天性半椎体脊柱侧凸患者,按照术式分为前路半椎体切除、短节段固定;前路切除半椎体、后路切除残余半椎体的关节突、椎板、矫形固定;后路半椎体切除、矫形固定。结果19例患者中侧凸平均矫正角度35.4,°矫正率63%,经6~24个月随访,2例出现交界区"附加"现象,其余病例半椎体切除区骨愈合良好,无断棒、脱钩等并发症,达到满意的矫形效果。结论小儿半椎体畸形应早期手术治疗。更多还原

【Abstract】 Objective To explore the operation and clinical results of surgical treatment of congenital scoliosis of hemivertebra.Methods 19 cases of congenital scoliosis of hemivertebra were treated by hemivertebra excision,internal fixation through anterior,posterior or anterior-and posterior approach.Results The average follow-up was 10 months,with arrange of 8～24 months,2 cases occurred adding-on phenomenon,17 cases had satisfactory correction and fusion results.The average Cobb′s angle of correction was 35.4,the rate of correction was 63%.Conclusion Congenital hemivertebra should be treated surgically earlier.更多还原