改良Halo-骨盆牵引架分期牵引治疗重度僵硬性脊柱侧凸-外科学;骨科学专业论文.docx

PAGE PAGE 2 矫形率平均 55.1%（44.0%－63.2%）。 结论:改良 Halo-骨盆牵引架能有效地对重度僵硬性脊柱侧凸进行松解牵引， 并发症轻，并发症少；对重度僵硬性脊柱侧凸采用分期牵引联合前后路手术外科 治疗，具有临床可操作性，疗效满意，最大程度地避免神经并发症的发生。 关键词：改良，Halo-骨盆牵引，脊柱侧凸，矫形外科手术 Two-stage modified Halo pelvic distraction in treatment of severe scoliosis ABSTRACT Purpose: To carry on an improvement design to the classic Halo pelvic frame， resolve the problem of the complication of nerve injury which the classic Halo pelvic frame easy to encounter. To evaluate the clinical curative effect in the treatment of the severe scoliosis by the modified Halo pelvic frame. To evaluate the clinical curative effect in the treatment of the severe scoliosis by the two-stage modified Halo pelvic distraction in combination with two-stage anterior release and posterior correction. Method: This research was divided into two parts. In the first part, 10 patients had two-stage modified Halo pelvic distraction for treatment of the severe scoliosis. We retrospectively reviewed the records of the patients. The amount of correction was determined by measuring the change of body height and the Cobb′s angles of scoliosis and kyphosis on radiographs after each stage distraction. In the second part, We retrospectively reviewed the records of the 10 patients in whom severe scoliosis had been treated with two-stage modified Halo pelvic distraction in combination with two stage anterior release and posterior correction. The amount of correction was determined by measuring the change of body height, trunk shift, shoulder height difference and the Cobb′s angles of scoliosis and kyphosis on radiographs at the preoperative, postoperative and final follow-up. There were 3 males and 7 females with an average age of 16.8 years ( from 13 to 24 years), 4 cases were congenital scoliosis and 6 cases were idiopathic scoliosis, the average Cobb′s angle of scoliosis was 91.8°(68°－115°) and the average Cobb′s angle of kyphosis was 69.5°(48°－86°) with the mean 12.1% correction in bending film. Results: All the pat