极重度脊柱侧弯畸形手术矫形治疗目标.PDFVIP

Advances in Clinical Medicine 临床医学进展, 2018, 8(3), 312-317 Published Online May 2018 in Hans. /journal/acm /10.12677/acm.2018.83052 Treatment Goal for Extremely Severe Scoliosis Correction * Deng Zhao, Yijian Liang , Fei Wang, Zhengjun Hu, Rui Zhong, Hehong Zhao Orthopaedic Department, Third People’s Hospital of Chengdu/Second Clinical Hospital of Chengdu Affiliated to Chongqing Medical University, Chengdu Sichuan st th th Received: Apr. 21 , 2018; accepted: May 11 , 2018; published: May 18 , 2018 Abstract Objective: To evaluate the outcomes of extremely severe scoliosis treated with halo-pelvic traction and the feasibility of the new treatment goal. Methods: 43 patients diagnosis with extremely se- vere scoliosis underwent a combined treatment including halo-pelvic traction, concave and con- vex thoracoplasty, vertebral column resection (VCR) and scapula-plasty from Jun 2014 to Feb 2015 were recorded. The parameters of imaging, result of pulmonary function test (PFT) and ap- pearance pre- and post-treatment were analyzed. Results: 20 male and 23 female patients were included. The average age was 20.5 years old. The preoperative mean Cobb’s angle of main curve and kyphosis was 168.25˚ ± 14.28˚ and 151.38˚ ± 28.60˚, and respectively decreased to 48.25˚ ± 8.29˚ and 30.75˚ ± 13.80˚ after treatment. A comparison of patients with pulmonary impairment preoperative vs. follow up found 0 vs. 7 patients had mild impairment, 0 vs. 16 patients had mod- erate impairment, 11 vs. 20 patients had severe impairment, and 32 vs. 0 had extremely severe impairment. The mean follow up was 30.5 ± 4.7 months. The