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目的:探讨脊柱良性成骨细胞瘤所致疼痛性脊柱侧凸的诊断与外科治疗。方法:对临床诊治的3例脊柱良性成骨细胞瘤合并疼痛性脊柱侧凸畸形病例的症状学、影像学表现、治疗效果及随访资料进行回顾和总结,并复习相关文献。结果:所有患者术后腰背痛症状消失,随访6~24个月,平均14个月,无一例肿瘤复发,继发的脊柱侧凸都得到了良好的矫形。结论:脊柱良性成骨细胞瘤引起疼痛性脊柱侧凸一旦确诊,应立即手术切除,无需术后化疗与放疗,继发的脊柱侧凸多为功能性侧凸,不需额外矫形,若为结构性脊柱侧凸,可按脊柱侧凸的矫形原理进行侧凸矫形术。
Objective: To investigate the diagnosis and surgical treatment of painful scoliosis caused by spinal benign osteoblastoma. Methods: The clinical data of 3 cases of benign osteoblastoma with painful scoliosis deformity were retrospectively reviewed and summarized, and the related literatures were reviewed. Results: The symptoms of low back pain disappeared in all patients. The patients were followed up for 6 to 24 months with an average of 14 months. No tumor recurrence was found. Secondary scoliosis was well corrected. Conclusion: Spinal benign osteoblastoma caused painful scoliosis, once diagnosed, surgical resection should be immediately, without postoperative chemotherapy and radiotherapy, secondary scoliosis and more for the functional scoliosis, without additional orthopedic, if the structure Scoliosis, according to the orthopedic scoliosis orthopedic surgery.