CORRECTIVE SURGERY OF CONGENITAL SCOLIOSIS WITH TYPE II SPLIT SPINAL CORD MALFORMATION

作     者：Bin Yu Yi-peng Wang Gui-xing Qiu Jian-guo Zhang Jia-yi Li Jian-xiong Shen Xi-sheng Weng 

作者机构：Department of Orthopedic Surgery Peking Union Medical College Hospital Chinese Academy of Medical Sciences ＆ Peking Union Medical College Beijing 100730 

出 版 物：《Chinese Medical Sciences Journal》 (中国医学科学杂志（英文版）)

年 卷 期：2006年第21卷第1期

页      面：48-52页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：scoliosis spinal dysraphism congenital disorders spinal cord myelodysplasia 

摘      要：Objective To investigate the corrective results of congenital scoliosis with type II split spinal cord *** By reviewing the medical records and roentgenograms of congenital scoliosis patients with type II split spinal cord malformation that underwent corrective surgery, septum location and length, curve type, coronal and sagittal Cobb’s angles, apical vertebral rotation and translation, and trunk shift were measured and *** A total of 23 congenital scoliosis patients with type II split spinal cord malformation were studied, 6 cases were due to failure of segmentation, 8 cases due to failure of formation, and the remaining 9 cases due to mixed *** fibrous septums were located in the thoracic spine in 8 patients, lumbar spine in 4 patients, thoracic and lumbar spine in 10 patients, and from cervical to lumbar spine in 1 *** septum extended an average of 4.9 *** surgeries included anterior correction with instrumentation in 2 patients, posterior correction with instrumentation in 11 patients, anterior release and posterior correction with instrumentation in 6 patients, anterior and posterior resection of the hemivertebra and posterior correction with instrumentation in 4 *** pre- and postoperative coronal Cobb’s angles, apical vertebral translations, apical vertebral rotations, trunk shifts were 61.9° and 32.5°(P0.001), 48.9 mm and 31.5 mm (P0.001), 1.2 and 1.1, 12.7 mm and 8.2 mm, *** average correction rate of coronal Cobbs angle was 47.5%.The sagittal balance was also well *** fibrous septums were all left in situ. There was no neurological *** For congenital scoliosis with type II split spinal cord malformation, positive correction results with no neurological complication may be obtained without resection of the fibrous septum.