Dissertation > Excellent graduate degree dissertation topics show

One-stage Hemivertebrae Resection Posterioroly and Transpedicular Instrumentation for Correction of Congenital Scoliosis

Author: LiuWeiCai
Tutor: FangHuang
School: Huazhong University of Science and Technology
Course: Surgery
Keywords: hemivertebrae congenital scoliosis resection correction transpedicular instrumentation
CLC: R687.3
Type: Master's thesis
Year: 2011
Downloads: 9
Quote: 0
Read: Download Dissertation


【Objective】Retrospective study with clinical evaluation of posterior hemivertebrae resection with transpedicular instrumentation for correction of congenital scoliosis .【Method】From Apr 2006 to Aug 2010,38 consecutive cases of congenital scoliosis (21 male and 17 female) were managed surgically with one-stage hemivertebrae resection posterioroly and transpedicular instrumentation。Mean age at time of surgery was 9.9 years old (1~18 years). The location of hemivertebra:thoracic 11 cases, thoracolumbar junction 15 cases,and lumbar 13 cases( two cases with two hemivertebras in thoracic and lumbar). Full-length standing radiographs were taken before and after surgery and at the final follow-up . The medical records were reviewed and the complications were recorded.The apical translation (C7 plumb line to center sacral vertical line and sagittal vertical axis),and the Cobb angle in the coronal and sagittal plane were measured and analyzed. Somatosensory evoked-potential monitoring or a wake-up test is recommended .The postoperative duration of brace wear is 3~6 months.【Result】They were retrospectively studied with a mean follow-up period of 20.9 months(12~36 months). The average operative time was 315 min (210~460min) with a mean 810 ml of blood loss (110~1850ml). The average fusion segments was 4.6,ranging from 2 to 12 segments.The Cobb angle in the coronal plane was corrected from 40.4°to 13.5°( correction rate 66.6%).The kyphosis was corrected from 34.6°to 11.4°( correction rate 67.1%).The apical translation of C7PL-CSVL was improved from 2.6cm (0.8~4.6cm) to 1.5 cm(0.4~2.7cm).The SVA translation was improved from 2.4cm(0.7~4.3cm) to 1.2cm(0.6~2.2cm). There was no pseudarthrosis, infection and pedicle fracture,but one sagittal decompensation.【Conclusion】One-stage hemivertebrae resection posterioroly and transpedicular instrumentation is a safe and effective procedure for congenital scoliosis with hemivertebrae. This procedure removed directly hemivertebrae body and disk, meanwhile reduced the rate of pseudarthrosis, and can achieve reliable fusion and satisfactory effect.

Related Dissertations

  1. High Speed Frequency Measurment and Non-Linearity Correction of Frequency Modulated Capacitive Displacement Sensor,TH822
  2. The Research of a Novel High Efficiency PFC Circuit Based on One Cycle Control,TM46
  3. Research of Electromagnetic Tracking Experimental System for Medical Application,TN966
  4. Infrared Imaging Target Simulation Resistance Array Control System Development,TJ765.4
  5. The True Estimations of China’s Unemployment and the Re-examination of Okun’s Law,F224
  6. Adult OSAHS Preoperative and Postoperative Nasal and Pharynx Cavity and Soft Palate of the Numerical Analysis of Fluid-structure Interaction,R766
  7. A Practical Research on Cultivating Habits of Junior Middle School Mathematics Exercise Correction and Self Feedback,G633.6
  8. Regional Resection of the Superficial Parotid Gland Benign Tumor Treatment Were Studied Retrospectively,R739.8
  9. Facility Layout Plan and Optimization of Chemical Factory,TQ08
  10. Research of Liver Stem Cells Proliferation after Partial Hepatictomy,R657.3
  11. RevoLix 2 micron laser treatment of benign prostatic hyperplasia clinical application,R697.3
  12. Laser alignment system posture measuring device developed,TN24
  13. DC Law exploration infinity pole impact and Calibration Technology,P631.3
  14. On the Establishment of Community Correction Officer System of China,D926.8
  15. A Comparative Analysis of Transurethral Plasmakinetic Enucleation of Prostate and Ransurethral Plasmakinetic Resection of Prostate,R699.5
  16. Supervising System Construction of Community Correction,D926.34
  17. Significance of "Self-examination Record Note" under "No-Homework-Correction by Teacher" in Teaching Strategy According to Student’s Aptitude,G633.98
  18. Research on Pricing Convertible Bonds Based on the Complete Decomposition Method,F224
  19. Study on Issues Relating to Error Correction in an Oral Class of Teaching Mandarin as a Foreign Language.,H195
  20. On the Deficiency and Perfriction of the System of Community Corrections in China,D926.8
  21. Discussion on China’s Community Correction System,D926.8

CLC: > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Orthopedic surgery and surgery > Bone surgery
© 2012 www.DissertationTopic.Net  Mobile