Adult thoracolumbar or lumbar scoliosis combined Chiari malformation and syringomyelia in the three-dimensional correction and integration strategies.docVIP

 PAGE \* MERGEFORMAT 23 Adult thoracolumbar or lumbar scoliosis combined Chiari malformation and syringomyelia in the three-dimensional correction and integration strategies [Abstract] [Objective] To investigate the combined Chiari malformation and syringomyelia in adult thoracolumbar or lumbar scoliosis correction and fusion of three-dimensional strategy. [Method] of January 2002 ~ May 2008 admitted undergraduate 13 patients with Chiari malformation and combined adult syringomyelia thoracolumbar or lumbar scoliosis, posterior pedicle screw system used in all three-dimensional correction, and according to the structural characteristics of scoliosis select segments of internal fixation and fusion. measurement technique before and after, the final follow up Cobb’s angle of coronal plane, correction rate of scoliosis, pelvic tilt, apical vertebral rotation, apical vertebral offset, trunk shift, sagittal thoracic kyphosis angle and lumbar lordosis. [Results ] coronal Cobb’s angle decreased from 46.8 ° to 9.2 °, 80.7% correction rate of scoliosis, pelvic tilt decreased from 9.9 ° to 3.2 °, apical vertebral rotation decreased from 1.9 ° to 0.3 °, from the apical side decreased from 3.6 cm to 0.8 cm, trunk shift decreased from 16.8 cm to 1.6 cm, thoracic kyphosis angle increased from 18.2 ° 23.5 °, lumbar lordosis increased from 37.4 ° 41.8 °. After a mean follow-up 22.2 months, no significant orthopedic lost, trunk imbalance, pseudarthrosis, and did not increase the occurrence of neurological symptoms the original and the new irreversible neurological damage. [Conclusion] Posterior pedicle screw system and the integration of three-dimensional treatment of combined orthopedic deformity and syringomyelia Chiari adult thoracolumbar or lumbar scoliosis satisfactory. [Keywords:] scoliosis correction Chiari malformation syringomyelia spinal fusion Abstract: [Objective] To study the strategy of 3D spinal correction and fusion for adult thoracolumbar or lumbar sco