| 谷晓川 吕润潇 张修平 张东华 白玉树 李明.LenkeII型青少年特发性脊柱侧凸患者内固定冠状面失衡的相关因素分析[J].,2015,15(31):6060-6063 |
| LenkeII型青少年特发性脊柱侧凸患者内固定冠状面失衡的相关因素分析 |
| Study on the Relative Factors of the Imbalance of the Coronal Plane inLenkeII Type of Adolescent Idiopathic Scoliosis |
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| DOI： |
| 中文关键词: 特发性脊柱侧凸 内固定治疗 冠状面失平衡 影响因素 |
| 英文关键词: Idiopathic scoliosis Internal fixation Coronal plane imbalance Influence factors |
| 基金项目:国家自然科学基金项目(30872611) |
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| 中文摘要: |
| 目的：探讨LenkeII型青少年特发性脊柱侧凸患者内固定冠状面失衡相关因素分析。方法：选取我院骨科已确诊为LenkeII
青少年特发性脊柱侧凸患者60 例，根据术前脊柱柔韧度、risser分级水平、支具支持治疗、椎体融合数、内固定系统选择等多方面
影响因素对内固定后冠状面失平衡情况发生率进行分析评估，其数据结果应用统计学软件SPSS 17.0 处理。结果：对术后患者评
估比较，多种因素均可影响内固定后冠状面失平衡情况发生，表现为：脊柱柔韧度低、risser 分级高、长时间支具佩戴、延长融合椎
体范围、先进钉棒系统方案选择均可明显提高术后疗效，降低内固定后冠状面失平衡情况发生率（P<0.05)，其结果均有统计学意
义。结论：临床上通过对患者脊柱柔韧度、risser分级情况评估来判断脊柱成熟度，并在术后积极支具辅助治疗，选用钉棒固定系统
并延长融合椎体节段，可明显降低内固定后冠状面失平衡情况发生，提高远期随访疗效。 |
| 英文摘要: |
| Objective:To investigate the relative factors of the imbalance of the coronal plane in LenkeII type of adolescent idiopathic
scoliosis (AIS).Methods:60 cases of AIS patients diagnosed as teenager LenkeII AIS were selected. The influence factors on internal
fixed coronal plane imbalance situation occurrence rate were analyzed and evaluated based on preoperative spinal flexibility, Risser
level classification, bracing treatment, vertebral body fusion number and internal fixation system. The results were then analyzed by Statistical
software SPSS 17.0.Results:Analysis on assessments of postoperative patients indicated demostrated that multiple factors may
affect the internal fixation and the imbalance of the coronal plane. Result indicated that preoperative low spinal flexibility, high risser
grade, long-term bracing usage, extended fusion vertebral range and advanced screw rod systemplan all showed improved effects on success
of postoperative recovery and significantly decreased occurrence rate of coronal plane imbalance after internal fixation(P<0.05).Conclusion:Prior evaluation of spinal maturity through the assessment of spinal flexibility and Risser grade, further active postoperative
bracing treatment, the selection of nail-stick fixation system and extension of the fusion to the vertebral segment may significantly reduce
the internal fixed coronal imbalance situation and improve the long-termfollow-up effects. |
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