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| 題 名 | Oligosegmental Correction of Post-Traumatic Thoracolumbar Angular Kyphosis=陳舊性胸腰椎損傷而導致之牢固胸腰椎銳角駝背畸型之少節矯正法 |
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| 作 者 | 張國華; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 25:1 民81.01-02 |
| 頁 次 | 頁1007-1016 |
| 分類號 | 416.61 |
| 關鍵詞 | 陳舊性胸腰椎損傷; 牢固胸腰椎銳角駝背畸型; 節矯正法; |
| 語 文 | 英文(English) |
| 中文摘要 | 17位罹患因陳舊性胸腰椎骨折或脫位而導致之胸腰椎銳角駝背畸型,以前方一節或兩節椎問盤切除及後方契型切骨術治療並以2節或3節固定一復位系統用以矯正畸型及固定。根據手術前之測量,選擇適當角度的椎弓根螺絲鋼釘,通常都可以重建一近似依計劃所重建的胸腰椎生理曲度,手術前之駝背畸型之平均角度為39°,可矯正至1.2°,平均矯正37.8°(範圍22°-56°)手術前之主訴為駝背畸型之持續惡化,容易倦勞和疼痛,手術後這些症狀均消失了。併發症少而輕微,沒有神經方面之併發症發生,平均追蹤期為2.8年,這個結果顯示這方法可將因陳舊性胸腰椎骨折或脫位而導致的胸腰椎銳角畸型,依照外科醫師手術前之計劃矯正至所需之生理曲度,且不影響腰椎之活動性及手術之安全性。 |
| 英文摘要 | Seventeen patients with rigid thoracolumbar angular kyphosis due to neglected fractures or dislocations were treated by a standardized single stage monosegmental or bisegmental anterior discectomy and posterior closing extension wedge osteotomy. The 2- or 3-1evel Reduction-Fixation (RF) instrumentation was used posteriorly for correction and fixation. Choosing angled pedicle screws according to preoperative measurements, the method can always correct the kyphosis to the approximate sagittal curvature which is planned to create preoperatively. The average precorrection of thoracolumbar kyphosis was 39° and was restored to 1.2° for an average correction of 37.8° (range 22°-56°) with subsequent average loss of 1.1° at final follow-up. Before operation, the complaints were slow progression of kyphotic deformities, fatigue, and pain. All these problems were solved by this procedure. Complications were minimal and mild. No neurologic complications occurred. Follow-up averaged 2.8 years. This method can correct rigid post-traumatic thoracolumbar angular kyphoses to normal geometric relationships as planned preoperatively without much negative effect in lumbar motion and any sacrifice of safety. |
本系統中英文摘要資訊取自各篇刊載內容。