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Treatments on Congenital Hemi-Vertebrae Scoliosis Deformity Caused by 1/4 Free Lateral-Posterior Hemi-Vertebra

Author: ShenJianCheng
Tutor: ZhanXinLi
School: Guangxi Medical University
Course: Spine Surgery
Keywords: Scoliosis Kyphosis Spinal fusion Hemivertebra deformity
CLC: R687.3
Type: Master's thesis
Year: 2011
Downloads: 2
Quote: 0
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Abstract


Objective To investigate the spinal anterior treatment caused by the posterolateral free 1 / 4 hemivertebra a congenital hemivertebra deformity surgical correction effect . Methods Retrospective analysis of clinical data of our hospital treatment during the period from February 2004 to March 2010 , 21 cases of congenital spinal deformity patients , the surgical age from 2 years old to 26 years old , the average age at surgery 10 years of age . Incision passing pleural or peritoneal five cases in children less than 3 years old hemivertebrae , adjuvant corrective traction gypsum ; greater than 3 -year-old children for 16 cases , preoperative pedicle X ray and CT parameters measurement , monitoring, intraoperative C-arm posterior hemivertebra excision interbody fusion with pedicle screw fixation correction . Cobb angle was measured before and after surgery , patients were followed up for 2 months to 77 months . Results All patients had varying degrees of scoliosis deformity, scoliosis angle correction from preoperative average of 36.7 ° to 18.2 ° ( correction rate of 50.1% ) ; kyphosis angle from 37.9 ° preoperative corrected to 14.2 ° ( correction rate 62.3% ) . Corrective effect for the group of children less than 3 years old , scoliosis correction angle from preoperative average of 35.2 ° to an average of 17 ° kyphosis angle corrected from preoperative 44.6 ° to 18.2 ° , for more than 3 years of age in children group , scoliosis angle to 18.7 °, 37.3 ° corrected preoperative kyphosis angle by 35.8 ° preoperative corrected to 13 ° , the average follow-up time of 36.9 months , no broken rods , decoupling and other postoperative complications . Conclusion for the children 's age and deformities of the anterior resection of hemivertebrae , the postoperative supplemented traction gypsum correction ; or with posterior hemivertebra excision interbody fusion with pedicle screw fixation correction , it has achieved a satisfactory surgical the corrective effects ; preoperative measurement of the pedicle X-ray and CT parameters , C-arm intraoperative monitoring is particularly important to guarantee the accuracy of pedicle screw implanted .

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CLC: > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Orthopedic surgery and surgery > Bone surgery
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