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A retrospective study of echocardiographic cardiac function and structure in adolescents with congenital scoliosis

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Chinese Medical Journal 2009年第8期122卷 906-910页

作者： LIANG Jin-qian QIU Gui-xing SHEN Jian-xiong LEE Chia-I WANG Yi-peng ZHANG Jian-guo ZHAO Hong Department of Orthopedics Peking Union Medical College Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing 100730 China

Background Patients with congenital scoliosis often also have intraspinal abnormalities and other organ defects, and few studies of the effects of congenital scoliosis on cardiac function and structure have been published. Methods A total of 215 adolescent patients with congenital scoliosis （average age, 13.58 years） underwent preoperative echocardiography and were then assigned to subgroups according to apex vertebral rotation, side of convexity, curvature severity in the coronal and sagittal planes, type of deformity, and sex. Differences between the subgroups were compared by independent-samples ttest or a one-factor analysis of variance. Results We observed statistically significant differences between patients with right-sided scoliosis curvature and those with left-sided scoliosis curvature, respectively, in left ventricular inner diameter at end-diastole （（39.39±4.66）mm vs （41.74±4.90）mm）, left ventricular inner diameter at end-systole （（24.80±3.45）mm vs （25.92±3.07）mm）, interventricular septum thickness at end-diastole （（5.66±0.98）mm vs （5.98±1.03）mm）, and posterior wall of left ventricle at end-diastole （（5.61±0.98）mm vs （6.06±1.20）mm）. When the patients were evaluated by coronal plane Cobb angle, significant differences were found between those with Cobb angle of 40°-80° and of 〉80° in left ventricular inner diameter at end-diastole （（40.97±5.06）mm vs （38.98±4.45）mm） and left ventricular inner diameter at end-systole （（25.53±3.39）mm vs （24.36±3.14）mm）, respectively. When the patients were evaluated by sagittal plane Cobb angle （〈20°, group 1; 20°-40°, group 2; 〉40°, group 3）, significant differences were found in right ventricular diameter between those with Cobb angle of 〈20° and of 20°-40° （（18.27±3.66）mm vs （16.54±3.57）mm） and in diameter of aortic root between those with Cobb angle of 20°-40° and of 〉40° （（23.83±3.39）mm vs （24.90±3.30）mm）, respectively. No significant differences were found in ejection fraction and fractional shortening between patient

关键词： congenital scoliosis echocardiography heart ventriculat function, left

先天性脊柱侧弯后路融合术后康复的远期疗效(英文)

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中国组织工程研究 2002年第6期6卷 910-911页

作者：雷伟黄耀添赵黎崔庚袁志韩利华杜俊杰 PLA Institute of Orthopedics in Xijing Hospital Fourth Military Medical University Xi' an 710032 China

Objective To review our experience on correction of low grade and medium congenital scoliosis by posterior spinal fusion. Method During 1978～1998, 56 patients with low grade and medium congenital scoliosis were treated by posterior spinal fusion with autologous bone、xenogenic bone and recombining xenogenic bone in our department. Preoperative Cobb angles of all patients were less than 40 degrees. Result The study covered 50 patients with minimum follow up period from surgery of 2 years ( mean 9.5 years, ranging from 2～22 years ). All patients have got satisfactory fusion, and the Cobb angels of all patients after operation have no increase with the increase of age. Conclusion Posterior spinal fusion in treatment of low grade and medium congenital scoliosis is easy to do, safe and less injury and cost. The follow up results are satisfying. It is necessary and important to use orthosis and doing orthopedic exercise to consolidate and improve the curative effect after operation.

关键词： congenital scoliosis spinal fusion bone transplantation

SIMULTANEOUS ANTERIOR AND POSTERIOR HEMIVERTEBRA RESECTION IN THE TREATMENT OF congenital KYPHOscoliosis

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Chinese Medical Sciences Journal 2005年第4期20卷 252-256,页

作者： Li-xiang Ding Gui-xing Qiu Yi-peng Wang Jian-guo Zhang Department of Orthopedics Peking Union Medical College Hospital Chinese Academy of Medical Sciences ＆ Peking Union Medical College Beijing 100730

Objective To evaluate the efficacy of simultaneous anterior and posterior hemivertebra resection in the treatment of congenital kyphoscoliosis caused by fully-segmented hemivertebra. Methods Twenty-one consecutive cases with congenital kyphoscoliosis, which were 8 males and 13 females, underwent one-stage operation of anterior hemivertebra resection and posterior instrumentation. All of the hemivertebra were fully-segmented. The average age at surgery was 11.4 （range, 1.5-16） years old. Results The average follow-up was 23 （range, 6-50） months. The average Cobb＇s angle of the coronal curve was 51.4° （30°-120°） before surgery, 16.9° （0°-54°） after surgery, and 19.5° at latest follow-up. The angle of segmental kyphosis was 37.1° （0°-95°） before surgery and 16.1° （0°-48°） after surgery, and 18.2° at latest follow-up. Apical translation was improved from 4.7 cm to 1.9 cm. The average fusion segments were 4.8 （range, 2-10） segments. Complication included pressure sore in one case, pedicle cutting by pedicle screw in one case and elongation of the curve in one case. There was no obvious pseudarthrosis, decompensation, and kyohosis deformity aggravation at latest follow-up. Conclusion One-stage hemivortebra resection has a good result in the surgical treatment of congenital kyphoscoliosis caused by fully-segmented hemivertebra, and may shorten fusion levels if performed at an earlier age.

关键词： congenital scoliosis kyphosis hemivertebra resection intemal fixators

先天性脊柱侧凸手术治疗的几点体会(附24例术后近期观察)

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中华小儿外科杂志 1984年第1期5卷 41-43页

作者：王尚崑崔宽龙西安医学院第二附属医院外科

The authors report 24 cases of congenital scoliosis surgically treated from 1978 through 1982.9 were male and 15 female,with the age ranging from 1 to 15 *** to the authors,its prognosis should not be a pessimistic one,for early operations can usually prevent deterioration of the *** authors point out that some associated diseases seen in the course of treatment as well as other problems concerned need further discussion and wait to be solved in the future.

关键词：先天性脊柱侧凸手术治疗术后近期观察 congenital scoliosis congenital scoliosis 先天性异常 treatment 椎骨脊椎畸形 problems treated 脊柱裂发生率 female 楔形问题困难 age

Short fixation with a 3‐rod technique for posterior hemivertebra resection in children younger than 5 years old

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Pediatric Investigation 2020年第2期4卷 104-108页

作者： Dong Guo Ziming Yao Xinyu Qi Chengxin Li Xuejun Zhang Department of Orthopaedics Beijing Children’s HospitalCapital Medical UniversityNational Center for Children’s HealthChina

Importance congenital hemivertebra is commonly treated with posterior hemivertebra resection with bilateral transpedicular ***,implant‐related complications are common in children younger than 5 years old who undergo this surgical *** To present the preliminary clinical and radiological outcomes of children younger than 5 years old treated by posterior hemivertebra resection and 3‐rod fixation *** From January 2016 to December 2017,14 consecutive patients of congenital scoliosis with 16 hemivertebrae were retrospectively reviewed,including 5 girls and 9 boys,aged between 25 and 55 months old(average,37.6 months).All patients underwent posterior hemivertebra resection with short fixation with bilateral pedicle screws and a convex lamina *** complications and corrective outcomes were assessed based on the clinical charts and spinal radiographs with a minimum 24‐month follow‐*** The mean Cobb angle of the main curve was 38.4°before surgery,8.5°after surgery,and 8.7°at final follow‐*** the compensatory cranial curve,the preoperative Cobb angle of 16.8°was corrected to 8.1°postoperatively and was 10.3°at final follow‐*** the compensatory caudal curve,the preoperative Cobb angle of 15.9°improved to 5.3°postoperatively and was 7.8°at final follow‐*** segmental kyphosis was corrected from 13.5°to 0.5°and was 1.1°at final follow‐*** were no crankshaft phenomena,no proximal kyphosis,and no complications related to the *** Posterior hemivertebra resection with instrumentation with bilateral pedicle screws and a convex lamina hook can achieve rigid fixation and deformity correction.

关键词： congenital scoliosis Hemivertebra Lamina hook Pedicle screw