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5. 严重脊柱畸形后路全脊椎截骨术后内固定棒断裂的原因分析及处理策略的选择

严重脊柱畸形后路全脊椎截骨术后内固定棒断裂的原因分析及处理策略的选择

来源 :第四届中国国际腰椎外科学术会议暨第三届首都骨科高峰论坛 | 被引量 : 0次 | 上传用户：undercall

【摘 要】

：

目的：探讨严重脊柱畸形后路全脊椎截骨术后内固定棒断裂的原因及处理策略的选择.方法：对2003年06月至2011年06月进行后路全脊椎截骨术后随访过程中发现内固定棒断裂且临床资料完整的7例脊柱畸形患者进行回顾性分析.男4例,女3例.初次手术时年龄15-38岁,平均24.4岁.术前侧凸Cobb角17～81°,平均52.2°；后凸Cobb角60～113°,平均81°；冠状面上C7铅垂线距骶骨中线距离为0

【作 者】

：

王斌 汪飞 邱勇 钱邦平 朱泽章 俞杨 刘臻 

【机 构】

：

南京大学医学院附属鼓楼医院

【出 处】

：

第四届中国国际腰椎外科学术会议暨第三届首都骨科高峰论坛

【发表日期】

：

2012年8期

【关键词】

：

后路全脊椎截骨 内固定棒断裂 脊柱畸形 

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　　目的：探讨严重脊柱畸形后路全脊椎截骨术后内固定棒断裂的原因及处理策略的选择.方法：对2003年06月至2011年06月进行后路全脊椎截骨术后随访过程中发现内固定棒断裂且临床资料完整的7例脊柱畸形患者进行回顾性分析.男4例,女3例.初次手术时年龄15-38岁,平均24.4岁.术前侧凸Cobb角17～81°,平均52.2°；后凸Cobb角60～113°,平均81°；冠状面上C7铅垂线距骶骨中线距离为0.1～2.4cm,平均0.4cm；矢状面上C7铅垂线距骶骨后上缘距离为0.3cm～9.1cm,平均3.7cm.

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