电邮这篇文章 儿童先天性脊柱畸形矫正过程中金属结构失稳的原因分析
- 作者: Kokushin D.N.1, Vissarionov S.V.1, Khardikov M.A.1, Khusainov N.O.1, Filippova A.N.1, Ilin V.V.1
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隶属关系:
- The Turner Scientific Research Institute for Children’s Orthopedics
- 期: 卷 8, 编号 1 (2020)
- 页面: 15-24
- 栏目: Original Study Article
- URL: https://journals.rcsi.science/turner/article/view/18544
- DOI: https://doi.org/10.17816/PTORS18544
- ID: 18544
如何引用文章
详细
论证：脊椎形成障碍是导致先天性脊柱侧凸发生和发展的最常见的脊柱畸形之一。大多数专家更推荐在儿童早期进行脊柱畸形的手术矫正。
目的是用于儿童先天性脊柱畸形的外科治疗评估经椎弓根金属结构的方案和原因，其与紊乱其完整
性无关。
材料与方法。在研究过程中进行了以2014年至2019年在H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery对286例6岁以下患一根紊乱椎体为背景先天性脊柱畸形儿童的病史分析。根据手术治疗结果将患者分为两组：研究组（n = 7）为金属结构失稳患者，
对照组（n = 12）为无金属结构失稳患者。在研究过程中确定了与异常相邻的椎弓根基底的大小，
评估了变形的脊柱侧凸和脊柱后凸分量的大小，以及根据Gertzbein分类对金属结构的支撑元素的正确位置。
结果。患者在年龄、脊柱侧凸和脊柱后凸的大小等方面无差异，但在椎弓根基底平均直径等指标上存在差异（p < 0.05）。所有患者术后均获得先天性脊柱畸形完全矫正。在术后的长期时间内，研究组患者经放射检查后发现，椎弓根的支撑元素相对于基底的位置不正，并脊柱畸形矫正平均损失25°。为此，反复进行了手术干预以恢复金属结构的稳定性，并矫正畸形。
结论。在矫正先天性脊柱畸形时，金属结构不稳定的原因既有脊柱畸形区的解剖与人体测量参数的
特点，以及手术干预的战术方面。金属结构失稳而又不破坏其完整性的主要原因是相邻椎体的椎弓基底相对于异常椎体较小。比较小的椎弓根基底和大量的先天性脊柱畸形矫正，其由于对脊柱畸形进行了彻底的矫正，使得有必要安装一个更扩展脊柱系统为了恢复区畸形的生理过程。
作者简介
Dmitry Kokushin
The Turner Scientific Research Institute for Children’s Orthopedics
Email: partgerm@yandex.ru
ORCID iD: 0000-0002-2510-7213
MD, PhD, Senior Research Associate of the Department of Pathology of the Spine and Neurosurgery
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Sergei Vissarionov
The Turner Scientific Research Institute for Children’s Orthopedics
Email: vissarionovs@gmail.com
ORCID iD: 0000-0003-4235-5048
MD, PhD, D.Sc., Professor, Deputy Director for Research and Academic Affairs, Head of the Department of Spinal Pathology and Neurosurgery
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Michael Khardikov
The Turner Scientific Research Institute for Children’s Orthopedics
编辑信件的主要联系方式.
Email: denica1990@bk.ru
ORCID iD: 0000-0002-8269-0900
SPIN 代码: 3378-7685
MD, PhD student, Department of Spinal Pathology and Neurosurgery
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Nikita Khusainov
The Turner Scientific Research Institute for Children’s Orthopedics
Email: nikita_husainov@mail.ru
ORCID iD: 0000-0003-3036-3796
MD, PhD, Research Associate of the Department of Pathology of the Spine and Neurosurgery
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Aleksandra Filippova
The Turner Scientific Research Institute for Children’s Orthopedics
Email: alexandrjonok@mail.ru
ORCID iD: 0000-0001-9586-0668
MD, PhD Student of the Department of Spine Pathology and Neurosurgery
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Vladislav Ilin
The Turner Scientific Research Institute for Children’s Orthopedics
Email: 89990323261@mail.ru
ORCID iD: 0000-0001-7444-7735
MD, clinical resident of the Department of Spine Pathology and Neurosurgery
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603参考
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