| 宋西正，刘振，王文军,吴金花，易国良，李洪柯，宋林章，王东.改良Halo-骨盆架在儿童重度脊柱侧凸牵引治疗中的应用价值.[J].中南医学科学杂志.,2011,39(6):650-654. |
| 改良Halo-骨盆架在儿童重度脊柱侧凸牵引治疗中的应用价值 |
| The Clinical Value of Preoperative Modified Halo Pelvic Frame in the Treatment of Severe Pediatric Scoliosis |
| 投稿时间：2011-05-16 |
| DOI： |
| 中文关键词: 重度僵硬性脊柱侧凸 术前牵引 儿童 |
| 英文关键词:severe scoliosis preoperative traction |
| 基金项目:湖南省自然基金省市联合重点基金项目（11JJ8007）. |
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| 中文摘要: |
| 目的探讨改良Halo-骨盆架在儿童重度僵硬性脊柱侧凸矫形前牵引治疗中的应用价值。方法2006年1月～2011年3月儿童重度僵硬性脊柱侧凸病例18例，在矫形术前用改良Halo-骨盆架进行牵引并对其临床资料进行回顾性分析。术前冠状面侧凸Cobb角82°～159°，平均118.4°，矢状面后凸Cobb角46°～116°，平均91°。最大牵引力为体重的1/3～1/2进行术前牵引。对牵引前、牵引后、矫形术后的侧后凸纠正率进行统计比较。 |
| 英文摘要: |
| ObjectiveTo evaluate the clinical value of preoperative modified Halo pelvic frame in the treatment of severe pediatric scoliosis.Method11 males and 7 females with a mean age of 7.8 years（4-9 years），totally 18 patients with severe pediatric scoliosis received modified Halo pelvic frame prior to posterior spine fusion were studied retrospectively from January 2006 to March 2011.The preoperative Cobb angle of coronal major curve and the thoracic kyphosis were 118.4°(82°～159°）and 91°(46°～116°）respectively.The maximum traction weight was the 1/3～1/2 of the body weight.The correction rate of coronal major curve in supine position was compared before and after modified Halo pelvic frame traction and after surgery respectively.ResultTraction was lasted for an average of 2.3 weeks（2- 4 weeks）.8kg was taken as the mean maximum traction weight,which was 51.2% of the average body weight(14.3kg).Six patients experienced transient brachial plexus palsy two weeks after traction but gradually recovered by decreasing the traction weight.No paralysis，death or respiratory failure occurred after surgery.The increasing correction rate of coronal major curve and thoracic kyphosis after modified Halo pelvic frame was 39.6% and 30.7% respectively.Besides，the pulmonary function and blood gas test improved significantly after Halo traction.The postoperative correction rate of coronal major curve and thoracic kyphosis were 49.2%and 39.3% respectively.ConclusionPreoperative modified Halo pelvic frame followed by posterior instru-mentation is effective for pediatric severe scoliosis correct，improvement of pulmonary function and decreasing of the traction related complications. |
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