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һҳ



01.д"ܸ"ؼ׵ 09.淶ԽعֱԼ׵ձ֮ѡ
02.д"ǰźպϽع"ձ 10.дعؽʸ״ƽƷ֮Ƽ
03.д"ϴඥ"SͲ 11.д̫׵ֲ뷨
04.дϴඥſѡضβںơSͲ֮ 12.д׵ձ֮ٽڶν
05.д""ձ 13.׵ǰλֲǹݶ̶
06.ֱֽԼ׵֮ǿ 14.ڶ׵״ͻ۵֧˫ƼѹǶ̶
07.д"շǰع"ձ 15.׵"λ̶ֲϵͳ" (RF)Ƽ׵
08.ֱֽԼ׵֮»ת  



СDʾ

Є"UCg"ίؼ׵ȏ

հ׈Dʾ

 

ڴǶȡӲصIJΣͨȾǻǻпĤ׵ǰɽ(Anterior release)ɺڹ̶(Instrumentation and correction)ľ֮о2003ȷֻܸɺԶ׵ȹ̻׮ԸܸṩǿȿռԶԿɰȫĴĽǰɽصIJ֢֮ȫҽЧã⣬ܸ˷в˹̶֯ȵIJ跽ڽбˣ񾭰ȫԡ



 

ܸ˷֮


ʵ22Ůǰ153㼹׵ΣɺԸܸ˷15֣ǰ֮ҪȫЧѡ



СDʾ

Reference

հ׈Dʾ

  1. Chang KW. Cantilever bending technique for treatment of large and rigid scoliosis.Spine 2003;28:2452-48.
  2. Ź,ֽ,º,et al.ܸضȽӲļ͹͡ лǿ־2007;27(1):43-48.
Ϊ(ʱ)֮͹(ƽֵ)Ƚ
زʱȽϱ
t grg
Chang KW()1 195 min
Wang Y2 324 min
Koptan W3 395min
Luhmann & Lenke4 (Posterior only) 366min
Luhmann & Lenke4(Anterior + Posterior) 485min
Bullmann V5 412min

 

f
(1)ĻΪʱ129290ӡ
(2)St Louis, Washinton Universityǿȫ׵νĵλreference 4ȽС

Reference:

  1. Kao-Wha Chang. Cantilever Bending Technique for Treatment of Large and Rigid Scoliosis. Spine 2003;28:2452-58.
  2. Yan Wang, Yongguang Zhang, Xuesong Zhang, et Al. A Single Posterior Approach for Multilevel Modifier Vertebral Column Resection in Adults with Severe Rigid Congenital Kyphoscoliosis. Eur Spine,17(3)361-72,2008.
  3. Koptan W, Elmiligui Y. Three-Stage Correction of Severe Rigid Idiopathic Scoliosis Using Limited Halo-Gravity Traction. Eur Spine J. 2011 Dec 13. DOI 10.1007/s00586-011-2111-0.
  4. Scott J. Luhmann, Lawrence G. Lenke, Yongjung J. Kim, et al. Financial analysis of circumferential fusion versus posterior-only with thoracic pedicle screw constructs for main thoracic idiopathic curves between70 and 100. J Child Orthop. 2008 March; 2(2): 105-112.
  5. Viola Bullmann, Henry F. H. Halm, Tobias Schulte, et al. Combined Anterior and Posterior Instrumentation in Severe and Rigid Idiopathic Scoliosis. Eur Spine J (2006)15:440-448.

תΣΪ(Բ֢Ϊ)֮͹(ƽֵ)Ƚ
β֢Ƚϱ

 

̨׵1

H2

0

0.1%

Ӳ׵Ĥ

0

0.4%

Ⱦ

1.2%

2.7%

0

1%

˨

0

0.04%

סءѪ

2%

1%

ڹ̶

0

1.5%

ӲĤǻѪ

0

0.02%

Reference:

  1. Kao-Wha Chang. Cantilever Bending Technique for Treatment of Large and Rigid Scoliosis. Spine 2003;28:2452-2458.
  2. Davis L. Reames, Justin S. Smith, Kai-Ming G. Fu, et al. Complications in the Surgical Treatment of 19,360 Cases of Pediatric Scoliosis. Spine 2011;36:1484-1491. (Ϊ׵оѧ֮ͳо)

Ч(Խʼ׵ѧٴƽʾΪ)֮͹(ƽֵ)Ƚ
زνʱȽϱ


Author()

No of cases ()

Cobbs angle (νǶ) Flexibility
()
Correction () C/F
(Ч)

Chang KW1()

41

98

18%

64%

3.6

Arlet V2

15

75

29%

54%

1.9

Koptan W3

32

102

40%

61%

1.5

Wang Y4

16

89

29%

57%

2.0

Dobbs & Lenke5
(Posterior)

34

94

34%

44%

1.2

Dobbs & Lenke5
(Anterior + posterior)

20

92

32%

44%

1.4

Luhmann & Lenke6

62

77

39%

51%

1.3

Bullmann7

33

93.4

23%

65%

2.8

f
(1)IJνǶ(Cobb angle)Ӳ(FlexibilityС)(Correction)֮Ч(C/Fϴ)
(2)reference 5ΪSt Louis, Washinton Universityǿ(Ϊȫ׵νĵλ)֮оı档
Reference:

  1. Kao-Wha Chang. Cantilever Bending Technique for Treatment of Large and Rigid Scoliosis. Spine 2003;28:2452-58
  2. Arlet V, Jiang L, Ouellet J. Is There a Need for Anterior Release for 70-90 Degrees Thoracic Curves in Adolescent Scoliosis? Eur Spine J. 2004 Dec;13(8):740-5. Epub 2004 Dec 22.
  3. Weal Koptan and Yasser Elmiligui. Surgical Correction of Severe Dystrophic Neurofibromastosis Scoliosis: an Experience of 32 Cases. Eur Spine J. 2010 September; 19(9): 1569-1575.
  4. Yan Wang, Guoquan Zheng, Xuesong Zhang, et al. Comparative Analysis Between Shape Memory Alloy-Based Correction and Traditional Correction Technique in Pedicle Screws Constructs for Treating Severe Scoliosis. Eur Spine J. 2010 March; 19(3): 394-399.
  5. Matthew B. Dobbs, Lawrence G. Lenke, Yongjung J. Kim, et al. Anterior/Posterior Spinal Instrumentation Versus Posterior Instrumentation Alone for the Treatment of Adolescent Idiopathic Scoliotic Curves More Than 90. Spine 2006;31:2386-2391.
  6. Scott J. Luhmann, Lawrence G. Lenke, Yongjung J. Kim, et al. Thoracic Adolescent Idiopathic Scoliosis Curves Between 70 and 100. Spine 2005;30:2061-2067.
  7. Viola Bullmann, Henry F. H. Halm, Tobias Schulte, et al. Combined Anterior and Posterior Instrumentation in Severe and Rigid Idiopathic Scoliosis. Eur Spine J (2006)15:440-448.


زٴȽϱ(SRS outcome score׵ѧٴʾ)

 

1

Luhmann & Lenke2
(Posterior only)
Luhmann & Lenke3
(Anterior + posterior)
ʹ 84.4 80 85.6
82 69

74

81.4 77

84.4

95 86 84

f
(1)ԷΪ
(2)ΪSt Louis, Washinton Universityǿ(Ϊȫ׵νĵλ)֮оı Reference: 2.3ΪSt Louis, Washinton Universityǿ(Ϊȫ׵νĵλ)֮оı
Reference:

  1. Kao-Wha Chang. Cantilever Bending Technique for Treatment of Large and Rigid Scoliosis. Spine 2003;28:2452-58
  2. Scott J. Luhmann, Lawrence G. Lenke, Yongjung J. Kim, et al. Thoracic Adolescent Idiopathic Scoliosis Curves Between 70 and 100. Spine 2005 Sep 15;30(18):2061-7.




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