■这项研究的目的是介绍我们在接受后路脊柱切除术(PVCR)治疗各种脊柱畸形的患者中的经验。
■对2015年至2018年间进行PVCR的37例患者进行了回顾性评估。平均随访时间为24个月(范围:12-50个月)。患者的人口统计数据,平均失血,血液置换量,操作持续时间,重症监护和住院期间,PVCR级别,仪表级,术前弯曲量,术后曲率改善量,术前和术后神经状况,并检查并发症。在X射线上进行角度测量。
■患者的平均年龄为37.5岁(范围:3-80岁)。由于不同的病理(先天性,肿瘤转移,创伤后凸畸形,翻修脊柱侧弯,和感染)。平均手术时间为445.5min(260-720),平均失血量为1903ml(400-7000ml)。观察到26例晚期畸形患者的平均局部后凸角度从67.65°降低到7.42°(P<0.001)。当这些值在所有34名患者中进行比较时,13例先天性后凸畸形患者术前角度值由55.1°降至3.5°(P<0.001),由70°降至0°。
■PVCR是矫正严重脊柱畸形的有效方法,可用于矫正不同患者组的曲率。
■3级。
UNASSIGNED: The purpose of this study was to present our experience in patients who had been treated with posterior vertebral column resection (PVCR) for various spinal deformities.
UNASSIGNED: Thirty-seven patients who performed PVCR between 2015 and 2018 were evaluated retrospectively. The mean follow-up period was 24 months (range: 12-50 months). The demographic data of the patients, mean blood loss, amount of blood replacement, duration of operation, intensive care and hospitalization period, PVCR level, instrumentation level, amount of preoperative curvature, amount of postoperative curvature improvement, preoperative and postoperative neurological status, and complications were examined. Angular measurements were performed on X-ray.
UNASSIGNED: The mean age of the patients was 37.5 years (range: 3-80 years). PVCR was applied to patients due to different pathologies (
congenital, tumor metastasis, posttraumatic kyphosis, revision scoliosis, and infection). The mean operation time was 445.5 min (260-720) with an average blood loss of 1903 ml (400-7000 ml). It was observed that the average local kyphosis angle decreased from 67.65° to 7.42° in 26 patients who were operated for advanced deformity (P < 0.001). When these values were compared in all 34 patients, the preoperative angle value decreased from 55.1° to 3.5° (P < 0.001) and decreased from 70° to 0° in 13
congenital kyphosis patients.
UNASSIGNED: PVCR is an effective method for correcting severe spinal deformities and can be used to correct curvature in different patient groups.
UNASSIGNED: Level 3.