Liu Hu,Li Chengxin.Surgical corrections of cervical kyphosis in children[J].Journal of Clinical Pediatric Surgery,2021,20(07):673-676.[doi:10.12260/lcxewkzz.2021.07.015]
儿童颈椎后凸畸形的手术治疗
- Title:
- Surgical corrections of cervical kyphosis in children
- Keywords:
- Cervical Vertebrae/AB; Kyphosis/SU; Treatment Outcome
- 分类号:
- R726.815.31;R726.12
- 摘要:
- 目的 分析手术治疗儿童颈椎后凸畸形的疗效，探讨儿童颈椎后凸畸形的手术治疗策略。方法 以2014年2月至2019年2月在首都医科大学附属北京儿童医院接受手术治疗的7例颈椎后凸畸形患者为研究对象，其中男3例，女4例；年龄2.4~11.4岁，平均（5.0±3.1）岁。先天性颈椎后凸畸形4例，结核性颈椎后凸畸形1例，椎管内肿瘤手术后颈椎后凸畸形2例。测量及记录所有患者手术前、手术后及末次随访时颈椎畸形节段的后凸角。结果 治疗前颈椎后凸角为（62.8±30.8）°，术后为（14.3±9.2）°，颈椎后凸矫正率为（77.1±12.2）%。末次随访时颈椎后凸角为（16.6±9.8）°。结论 对于存在颈椎后凸畸形的患者，行前路或前后路联合矫形内固定融合手术可取得良好的治疗效果。
- Abstract:
- Objective To explore the curative effect of surgical correction and explore the surgical treatment strategies for children with cervical kyphosis.Methods From February 2014 to February 2019,a total of 7 children with cervical kyphosis undergoing operations were retrospectively analyzed.There were 3 boys and 4 girls with an average age of (5.0±3.1)(2.4-11.4) years.The causes were congenital cervical kyphosis (n=4),tuberculous cervical kyphosis (n=1) and cervical kyphosis after intraspinal tumor surgery (n=2).The cervical kyphosis angles were recorded pre- and post-operation and at the last follow-up.Results The cervical kyphosis angle was corrected from (62.8±30.8)° pre-treatment to (14.3±9.2)° post-operation with an average correction rate of (77.1±12.2)%.At the last follow-up,the kyphosis angle of cervical spine was (16.6±9.8)°.Conclusion Anterior or anterioposterior combining internal fixation and fusion may achieve excellent outcomes for children with cervical kyphosis.
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相似文献/References:
[1]李浩,李承鑫,张学军,等. 3D打印模型辅助后路内固定治疗儿童颈椎畸形[J].临床小儿外科杂志,2016,15(01):59.
[2]姚子明,张学军,郭东,等.儿童先天性脊柱后凸畸形截骨方式的选择及效果分析[J].临床小儿外科杂志,2021,20(01):19.[doi:10.12260/lcxewkzz.2021.01.004]
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备注/Memo
收稿日期:2020-12-23。
通讯作者:刘虎,Email:liuhu0034@163.com