Mini-open anterior corrective surgery with assistance of thoracoscopy for thoracic idiopathic scoliosis
- VernacularTitle:青少年特发性胸椎侧凸胸腔镜辅助前路矫形的疗效
- Author:
Yong QIU
;
Bin WANG
;
Feng ZHU
;
Yang YU
;
Ze-Zhang ZHU
;
Bang-Ping QIAN
;
- Publication Type:Journal Article
- Keywords:
Scoliosis;
Minimal invasion;
Thoracic vertebrae;
Correction;
Thoracoscopy
- From:
Chinese Journal of Microsurgery
2006;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce the mini-open anterior correction under video assisted thoracosco- py for thoracic idiopathic scoliosis and report its clinical results.Methods From July 2001 to 2006,37 ca- ses of right thoracic idiopathic seoliosis were surgically corrected with mini-open anterior instrumentation. There were 4 males and 33 females with average age of 14.1 years and average Cobb angle of 56?.Fourteen cases with Lenke I A 14 cases,IB ++-++++ 14 cases,IC 9 cases.The Risser sign was ++-++++. The operative time,blood loss,instrumented levels,correction rate and loss of correction were analyzed. Results The operative time averaged 220 miu.The intraoperative blood loss averaged 320 ml.The average number of instrumented levels was 7.8.The postoperative Cobb angle was 16.8?on average with correction rate of 70%.With a follow-up of 18-36 months,the loss of correction averaged 4.6%,but no hardware complications.Conclusion The clinical results of mini-open anterior correction under thoracoscopy for tho- racic idiopathic scoliosis were satisfactory.It may minimize the complications of classical thoracotomic anterior correcion and mav reduce the high requirement for anesthesia,long operative time and high cost of thoraco- scopic anterior instrumentation.
