...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Musculoskeletal Disorders >Full fusion of proximal thoracic curve helps to prevent postoperative cervical tilt in Lenke type 2 adolescent idiopathic scoliosis patients with right-elevated shoulder
【24h】

Full fusion of proximal thoracic curve helps to prevent postoperative cervical tilt in Lenke type 2 adolescent idiopathic scoliosis patients with right-elevated shoulder

机译：伦克2型青少年特发性脊柱侧凸患者右肩抬高完全融合近端胸弯有助于预防术后颈椎倾斜

获取原文
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background To date, no study had reported the phenomenon of deteriorated postoperative cervical tilt in Lenke type 2 adolescent idiopathic scoliosis patients. The purpose of this study is to evaluate the cervical tilt in Lenke type 2 adolescent idiopathic scoliosis patients with right-elevated shoulder treated by either full fusion or partialon fusion of the proximal thoracic curve. Methods A total of 30 Lenke type 2 AIS patients with preoperative right-elevated shoulder underwent posterior spinal instrumentation from 2009 to 2011 were included in this study. All the subjects were divided into 2 groups according to the selection of upper instrumented vertebra. There were 14 cases proximally fused to T1 or T2 (Group A) and 16 cases proximally fused to T3 or below (Group B). Both standing anteroposterior and sagittal X-ray films of the spine obtained preoperatively, one week after the operation, and at a minimum of two-year follow-up were analyzed with respect to the following parameters: cervical tilt, T1 tilt, proximal thoracic Cobb angle, main thoracic Cobb angle, apical vertebral translation of proximal thoracic curve, apical vertebral translation of main thoracic curve, radiographic shoulder height, cervical lordosis, proximal thoracic kyphosis and main thoracic kyphosis. Results Most (83.3%) of the patients in these two groups gained satisfactory shoulder balance after surgery. However, the cervical tilt significantly improved in group A ( p p p p p Conclusions Lenke type 2 AIS patients with right-elevated shoulder gain improved shoulder but deteriorated cervical tilt after partialon fusion of proximal thoracic curve. Full fusion of proximal thoracic curve helps to prevent the residual cervical tilt in these patients.
机译：背景技术迄今为止，尚无研究报道Lenke 2型青少年特发性脊柱侧凸患者术后颈椎倾斜恶化的现象。这项研究的目的是评估通过完全融合或部分/不融合近端胸廓弯曲治疗的Lenke 2型青少年特发性脊柱侧凸患者，右肩抬高时的颈椎倾斜度。方法回顾性分析2009年至2011年在Lenke 2型AIS术前右肩高位接受脊柱后路手术治疗的30例患者的临床资料。根据上肢椎骨的选择，将所有受试者分为两组。近端融合至T1或T2的14例（A组），近端融合至T3或以下的16例（B组）。根据以下参数分析术前，术后一周和至少两年的随访中获得的脊柱的前后正位和矢状X线摄片：颈椎倾斜，T1倾斜，胸近端Cobb角，胸主干Cobb角，近端胸曲线的心尖椎骨平移，主胸曲线的心尖椎骨平移，影像学肩高，颈椎前凸，近端胸椎后凸畸形和主胸椎后凸畸形。结果两组患者中大多数（83.3％）的患者术后均获得了令人满意的肩关节平衡。但是，A组的颈椎倾斜度显着改善（ppppp结论右肩部抬高的Lenke 2型AIS患者在胸廓近端部分/不融合后肩关节改善，但颈椎倾斜度恶化。这些患者残留颈椎倾斜。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号