低龄先天性脊柱畸形儿童半椎体切除术后近端交界性后凸
的临床分析
孙旭;陈曦;陈忠辉;朱泽章;朱锋;刘臻;钱邦平;王斌;乔军
【期刊名称】《中华外科杂志》 【年(卷),期】2017(055)003
【摘要】Objective To investigate the risk factors of proximal junctional kyphosis (PJK) in young children who underwent posterior hemivertebra resection and instrumented fusion.Methods This study reviewed the charts and radiographs of 136 consecutive young children with congenital scoliosis who underwent posterior hemivertebra resection and instrumented fusion in Department of Orthopaedics,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School from January 2009 to June 2014,including 75 males and 61 females,with an average age of (5.0± 1.7) years(3-10 years).Proximal junctional angle(PJA),spino-pelvic parameters and segmental kyphosis (SK) were recorded pre-and post-operation and at last follow-up.The changes of PJA and radiographic features of proximal junction were also observed.x2 test and t-test were used to analyzed enumeration data and measurement data,respectively.Results The average follow-up period was (32.8± 10.3)months (ranging from 24 to 73 months) by June 2016.Among these patients,PJK occurred in 19 cases.Fifteen patients developed PJK during the first 3 months after surgery.The most
低龄先天性脊柱畸形儿童半椎体切除术后近端交界性后凸的临床分析
