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学科主题临床医学
The posterior surgical correction of congenital kyphosis and kyphoscoliosis: 23 cases with minimum 2 years follow-up
Zeng, Yan; Chen, Zhongqiang; Qi, Qiang; Guo, Zhaoqing; Li, Weishi; Sun, Chuiguo; Liu, Ning
关键词Posterior Correction Congenital Deformity Kyphosis Kyphoscoliosis
刊名EUROPEAN SPINE JOURNAL
2013-02-01
DOI10.1007/s00586-012-2463-0
22期:2页:372-378
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Clinical Neurology ; Orthopedics
研究领域[WOS]Neurosciences & Neurology ; Orthopedics
关键词[WOS]OCCULT INTRASPINAL ANOMALIES ; VERTEBRAL COLUMN RESECTION ; NATURAL-HISTORY ; SPINE DEFORMITIES ; SCOLIOSIS ; OSTEOTOMY ; VERTEBRECTOMY
英文摘要

The purpose of this study is to review our operative experience of congenital kyphosis or kyphoscoliosis undergoing either pedicle subtraction osteotomy (PSO) or posterior vertebral column resection (pVCR) according to certain criteria we have established.

From December 2003 to 2009, 23 consecutive patients of congenital kyphosis or kyphoscoliosis were treated by means of PSO or pVCR procedure in a single institution. The average preoperative kyphosis angle was 74.3A(0). The C7 plumb line was 12.6 mm posterior to the posterior-superior corner of S1 on average, showing negative imbalance. In the 11 cases who had accompanied scoliosis, the average preoperative scoliosis angle was 42.6A(0). The average Oswestry Deficiency Index (ODI) for back pain was 14.6 before surgery. Eleven patients had compromise of neurological functions.

After PSO or pVCR procedure, the average kyphosis angle decreased to 20.0A(0), and the accompanied scoliosis also decreased to 15.8A(0). The average follow-up time after surgery was 34.3 months. At the last follow-up, the average kyphosis corrective rate was 73.7 %, and the average scoliosis corrective rate was 61.7 %. The negative imbalance improved, with the C7 plumb line being 1.5 mm posterior to the posterior-superior corner of S1 on average. After surgery, the average ODI for back pain had 40.6 % improvement, and most patients who had neurological symptoms before surgery had varying degrees of relief. The total satisfactory rate to corrective surgery was 91.3 %. No permanent neurological damage was observed.

If selected appropriately, both PSO and pVCR procedures can achieve compatible and satisfactory correction results in the surgical treatment of congenital kyphosis or kyphoscoliosis.

语种英语
WOS记录号WOS:000314063500019
引用统计
被引频次:6[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/53011
专题北京大学第三临床医学院_骨科
作者单位Peking Univ, Hosp 3, Dept Orthoped, Beijing 100191, Peoples R China
推荐引用方式
GB/T 7714
Zeng, Yan,Chen, Zhongqiang,Qi, Qiang,et al. The posterior surgical correction of congenital kyphosis and kyphoscoliosis: 23 cases with minimum 2 years follow-up[J]. EUROPEAN SPINE JOURNAL,2013,22(2):372-378.
APA Zeng, Yan.,Chen, Zhongqiang.,Qi, Qiang.,Guo, Zhaoqing.,Li, Weishi.,...&Liu, Ning.(2013).The posterior surgical correction of congenital kyphosis and kyphoscoliosis: 23 cases with minimum 2 years follow-up.EUROPEAN SPINE JOURNAL,22(2),372-378.
MLA Zeng, Yan,et al."The posterior surgical correction of congenital kyphosis and kyphoscoliosis: 23 cases with minimum 2 years follow-up".EUROPEAN SPINE JOURNAL 22.2(2013):372-378.
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