KASS内固定治疗胸腰段脊柱侧凸畸形

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[目的]评价应用Kaneda脊柱前路矫形系统(Kaneda anterior scoliosis system,KASS)治疗胸腰椎侧凸畸形的临床疗效.[方法]回顾分析43例脊柱侧凸畸形通过前路椎间盘摘除、松解、椎间植骨融合及KASS内固定矫正侧凸畸形的临床资料,男性17例,女26例.年龄11~24岁(平均14.6岁).侧弯病因:特发性35例,先天性8例.[结果]所有患者均达到满意矫正效果,平均随访时间为22个月(6个月~4年).胸腰椎术前侧凸Cobb's角平均为66°(43°~98°),术后矫正至18°(0°~32°),畸形矫正率为91.7%.无明显并发症出现.术后随访3例出现矫正度部分丢失.[结论]KASS内固定系统治疗脊柱侧凸具有能早期矫正畸形,创伤小,融合固定节段少,矫形效果好,维持术后矫正度理想等优点,是一种值得推广的手术方法.
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