[高血压医学论文] 作者:李展春,刘祖德,李占玉
【关键词】 脊柱侧弯
摘 要:[目的]探讨脊柱侧弯并发Chiari畸形的诊断和治疗方法。[方法]本组12例脊柱侧弯并发Chiari畸形的患者,其中有7例同时伴有脊髓空洞症,所有患者均先由神经外科行枕大孔扩大成形术或空洞分流术,二期行脊柱侧弯后路矫形术。[结果]Cobbs角术前平均71°,术后平均24°,矫正率为66%。脊柱矫形术后随访1~4 a,平均24 a,没有发生脱钩、断钉及假关节现象;没有出现新的神经损害表现;感觉障碍及腹壁浅反射减弱的症状没有加重。[结论]对于脊柱侧弯并发Chiari畸形、脊髓空洞症的患者,术前应完善检查、明确诊断;先进行枕大孔扩大成形术或空洞分流术,二期行脊柱侧弯后路矫形术,可以减少脊柱侧弯矫形时引起的神经损害并发症。
关键词:脊柱侧弯; Chiari畸形; 脊髓空洞症; 手术治疗
Abstract:[Objective]To discuss the diagnosis and treatment method of scoliosis associated with Chiari malformation[Method]Twelve patients were suffered from scoliosis associated with Chiari malformation,in which there were 7 patients also complicated with syringomyeliaFirstly,posterior suboccipital craniectomy to enlarge foramen occipital magnum was performed,then the patients underwent the scoliosis correction with instrumentation[Result]Preoperatively,the mean Cobbs angle on the coronal plane was 71°,and 24° postoperatively,with an average correction of 66%During a followup from 1 year to 4 years,there were no release of the hook,no breaking of pedicle screw,no false articulation an……
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