论文部分内容阅读
目的：观察肌营养不良患者脊柱固定融合术的疗效。方法：对１９８２～１９９５年接受脊柱融合的１２例肌营养不良患者的病历和Ｘ线片进行回顾性研究。随访时间不少于１年。资料包括患者术前肺功能、手术步骤、随访时Ｘ线片Ｃｏｂｂ角和骨盆倾斜程度及患者功能状态。结果：手术时患者年龄为１３５岁，术前肺功能为５６％，脊柱侧凸平均４８°，骨盆倾斜平均１５°，所有患者均接受后路融合双鲁氏棒固定术和髂骨植骨。最后随访时没有发现不融合病例，脊柱侧凸平均３１°，骨盆倾斜平均８°，所有患者均能够坐位而无不适。结论：后路融合双鲁氏棒固定术有助于维持肌营养不良患者的脊柱序列，建议对该类患者在脊柱侧凸发展至３０°前行脊柱融合术。
Objective: To observe the efficacy of spinal fusion in patients with muscular dystrophy. Methods: The medical records and X-ray films of 12 cases of muscular dystrophy who underwent spinal fusion from 1982 to 1995 were retrospectively reviewed. Follow-up time of not less than 1 year. Data include preoperative pulmonary function, surgical procedure, X-ray Cobb angle and pelvic tilt at follow-up, and patient functional status. Results: At the time of operation, the age of the patients was 13.5 years, the preoperative pulmonary function was 56%, the average scoliosis was 48 °, and the pelvic tilt was 15 °. All patients underwent posterior fusion with double-lumber rod fixation and iliac bone graft bone. At the last follow-up, no non-fusion cases were found. The average scoliosis was 31 ° and the pelvis was inclined at an average of 8 °. All patients were able to sit without any discomfort. CONCLUSIONS: Posterior fusion with double-lumen rod fixation helps to maintain the spine sequence in patients with muscular dystrophy. It is recommended that spondylolisthesis be performed in patients with scoliosis up to 30 °.