АТИПИЧНЫЕ СЕГМЕНТАРНЫЕ КОРРИГИРУЮЩИЕ ВЕРТЕБРОТОМИИ ПРИ ЛЕЧЕНИИ ГРУБЫХ ПОСТТРАВМАТИЧЕСКИХ КИФОЗОВ ГРУДНОГО ОТДЕЛА ПОЗВОНОЧНИКА

Q3 Medicine Hirurgia Pozvonochnika Pub Date : 2018-01-24 DOI:10.14531/SS2014.4.20-24

Виктор Викторович Рерих, Константин Олегович Борзых, Шухрат Нумонжонович Рахматиллаев

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引用次数: 5

Abstract

Objective. To analyze results of atypical segmental corrective vertebrectomy in patients with painful thoracic kyphosis treated in the late period of spinal cord injury. Material and Methods. Eight patients with painful kyphotic and shear deformities were operated on during 2012. The method of atypical segmental corrective vertebrectomy was used. Average kyphotic deformity was 43.1° ± 15.0°, the rate of anterior shear displacement varied from 25 to 48 %. Results. The average kyphosis correction was 9.1° ± 5.8° with complete correction of shear deformity. Questionnaire data showed the decrease in pain score from 4.4 ± 1.8 to 2.6 ± 1.6 on VAS, and improvement in functional capacity from 74.4 ± 12.0 to 83.5 ± 9.0 on FIM (Functional Independence Measure) in the follow-up period. Conclusion. Atypical corrective segmental vertebrectomy performed in the late period of spinal cord injury effectively eliminates post-traumatic deformity, and improves functional capacity of patients with complete neurological deficit.

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非典型的部分切开术，用于治疗创伤后乳头发育不良。

客观的分析不典型节段矫正性椎体切除术治疗脊髓损伤晚期胸部后凸疼痛的疗效。材料和方法。2012年，8名患有疼痛性后凸畸形和剪切畸形的患者接受了手术。采用不典型节段性椎体矫正术。后凸畸形平均为43.1°±15.0°，前剪切移位率为25%～48%。后果平均后凸矫正为9.1°±5.8°，完全矫正了剪切畸形。问卷数据显示，在随访期间，VAS的疼痛评分从4.4±1.8降至2.6±1.6，FIM（功能独立性测量）的功能能力从74.4±12.0提高至83.5±9.0。结论在脊髓损伤后期进行的非典型矫正节段性椎体切除术有效地消除了创伤后畸形，并提高了完全神经功能缺损患者的功能能力。

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