脊柱截骨.pptVIP

脊柱畸形截骨术 成人严重的僵硬的脊柱畸形，包括冠状位和失状位的畸形。 通过截骨最终取得失状位和冠状位的平衡，缓解疼痛，坚固的融合及预防进一步畸形。     失状位失衡 1、节段性tape1（segmental）:SVA5cm 2、整体性tape2（global）:SVA 5cm without knee flexion or hip hyperextension Ideal sagittal alignment is described as SVA50 mm, PT 25 ゜, PI–LL = 10 ゜   失状位失衡截骨方式Posterior-only  1、Smith-Petersen osteotomy (SPO) 2、pedicle subtraction osteotomy (PSO) 3、bone-disc-bone osteotomy (BDBO) 4、vertebral column resection (VCR) Ponte osteotomy, Smith-Petersen osteotomy (SPO) removal of posterior ligaments and facets wide facetectomy to prevent