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为探讨单纯后路和前后路切除半椎体治疗先天性脊柱侧凸的疗效 ,回顾分析了19例先天性脊柱侧凸共21个半椎体的治疗。其中T7、T9、T11、L1、L4 各1例 ,T10、L2、L3 各2例 ,T1210例 ,均为完全分节型半椎体 ;单纯后路切除10例 ,前后路切除9例 ;术前Cobb角20°～95°,平均46°。随访10个月～28个月 ,平均19个月。结果术后冠状面平均矫正51 % ,平均矫正丢失6°;2例后凸畸形得到矫正 ,无神经并发症及假关节发生。提示单纯后路或前后路半椎体切除效果满意 ,其中单纯后路半椎体切除术主要用于胸椎、胸腰椎单一半椎体畸形
To investigate the effect of simple posterior and anterior and posterior resection of hemivertebrae in the treatment of congenital scoliosis, a total of 21 cases of congenital scoliosis were retrospectively analyzed. There were 1 case of T7, T9, T11, L1 and L4, 2 cases of T10, L2 and L3, and T1210 cases, all of which were completely segmental hemivertebra. Cobb angle before 20 ° ~ 95 °, an average of 46 °. Follow-up 10 months to 28 months, an average of 19 months. Results The mean coronal area was corrected by 51% and the average correction was lost by 6 °. Two cases of kyphosis were corrected without neurological complications and pseudarthrosis. It is suggested that the posterior hemivertebra resection is satisfactory only in posterior or anterior posterior. The simple posterior hemivertebra resection is mainly used for thoracic vertebrae, thoracolumbar vertebrae single hemivertebra deformity