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学科主题: 临床医学
题名:
The posterior surgical correction of congenital kyphosis and kyphoscoliosis: 23 cases with minimum 2 years follow-up
作者: 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
发表日期: 2013-02-01
DOI: 10.1007/s00586-012-2463-0
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/53011
Appears in Collections:北京大学第三临床医学院_骨科_期刊论文

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作者单位: Peking Univ, Hosp 3, Dept Orthoped, Beijing 100191, Peoples R China

Recommended Citation:
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.
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