复杂性重度脊柱畸形我们应该关注什么？
郑召民
王华锋
刘辉
1.中山大学附属第一医院脊柱外科,广州,5100802.中山大学附属第一医院脊柱外科,广州,5100803.中山大学附属第一医院脊柱外科,广州,510080
摘要：Severe spinal deformity is not an uncommon condition that often arises from untreated early onset scoliosis in developing countries. Patients most often present with severe clinical and radiographic deformity with poor pulmonary function. Previous literature has identiifed the challenges in the treatment of these patients and the higher risk for complications. An assessment of the preoperative, intraoperative, and postoperative factors leading to an optimal result was warranted. The early evaluation should include a multidisciplinary approach from orthopaedic surgeon, pulmonologist, anesthesiologist, and perhaps neurologist to provide a baseline assessment. Advanced imaging of the spine is useful and important. Current surgical strategies include aggressive anterior and posterior column release and osteotomies, either with a front–back or a posterior-only approach. With the extent of the surgical release and segmental instrumentation, the potential for curve correction is increased;however, so is the potential for neurologic compromise. Therefore, perioperative Halo traction is recommended. It is thought to improve both spinal deformity and pulmonary function and is a helpful adjuvant in the treatment of severe spinal deformity. Improvement in the clinical and radiographic appearance, pulmonary function, and self-image is often dramatic. Proper planning and execution of the correct surgical procedure for the surgeon provides an outstanding life-changing result in these patients.
机标关键词：重度脊柱侧凸脊柱畸形pulmonary function脊柱外科early onsetdeveloping countriessurgical procedure欧美国家
分类号：R682.3(骨科学（运动系疾病、矫形外科学）)
论文发表日期：2014-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 886-889 )
英文信息