Clinical efficacy of hemivertebra resection for treating congenital kyphoscoliosis
10.3969/j.issn.1671-8348.2014.36.022
- VernacularTitle:半椎体切除治疗先天性脊柱侧后凸畸形的临床疗效
- Author:
Dixin LUO
;
Hongtao SUN
;
Xunjie JIN
;
Weijian CHEN
;
Yong QI
;
Wangyang XU
;
Chao LI
;
Zhousheng LIN
;
Xiaozhong ZHOU
- Publication Type:Journal Article
- Keywords:
hemivertebral resection;
congenital kyphoscoliosis;
semivertebral deformity;
effect
- From:
Chongqing Medicine
2014;(36):4920-4921
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy and application value of hemivertebra resection for treating congenital ky‐phoscoliosis .Methods 30 cases of congenital kyphoscoliosis and hemivertebral deformity in our hospital from January 2011 to Jan‐uary 2013 were selected as the research subjects .Among them ,12 cases of simple vertebral and non‐structural bending were per‐formed the posterior hemivertebral resection and short segment pedicle screw fixation ;3 cases of complicating lordosis and hemiver‐tebral protruding to the ventral side were performed the anterior hemivertebral resection and bone graft fusion fixation ;15 cases of complicating structural compensatory curve were performed the posterior transpedicle hemivertebral resection and compensatory bend long segment fixation and fusion .The clinical effects of surgical treatment for all patients were performed the comparative a‐nalysis .Results The mean postoperative kyphosis Cobb angle and the average final follow‐up Cobb angle were (8 .6 ± 3 .14) °and (11 .2 ± 7 .23) °respectively .The ultimate orthopedic rate of kyphosis was 58 .6% ;the average postoperative Cobb angle and and the average final follow‐up Cobb angle of scoliosis were (12 .8 ± 5 .47)°and (16 .2 ± 6 .24)°respectively ,the final orthopedic rate of scoliosis was 66 .5% .The mean Cobb angle of kyphosis and scoliosis after operation was significantly less than that before opera‐tion ,the difference was statistically significant(P< 0 .05) .Kyphosis and scoliosis were significantly improved .No significant post‐operative complications occurred .The effects were satisfied by the patients .Conclusion The hemivertebral resection has significant effect for treating congenital kyphoscoliosis with high kyphoscoliosis orthopedic rate and is worthy of further clinical study .
