脊柱截骨課件

1、脊柱(jzh)畸形截骨術(shù) 成人嚴(yán)重的僵硬的脊柱畸形，包括冠狀位和失狀位的畸形。 通過截骨最終取得失狀位和冠狀位的平衡，緩解疼痛，堅(jiān)固的融合(rngh)及預(yù)防進(jìn)一步畸形。 第一頁，共二十二頁。脊柱截骨第二頁，共二十二頁。脊柱截骨第三頁，共二十二頁。脊柱截骨失狀位失衡(sh hn)1、節(jié)段性tape1（segmental）:SVA5cm without knee flexion or hip hyperextension Ideal sagittal alignment is described as SVA50 mm, PT 12 cm), sharp, angular kyphosis etl

2、；第十一頁，共二十二頁。脊柱截骨A wide laminectomy is performedOsteotomy line horizontal to the sacrumPlacing the temporary rodclosed over the rods while the hips and knees are hyperextended第十二頁，共二十二頁。脊柱截骨Interbody fusion can be done as either a TLIF or an ALIF procedure第十三頁，共二十二頁。脊柱截骨Bone-disc-bone osteotomy (BDBO

3、) correction rates 35 to 60The main indications are deformities with the disc space as the apex or center of rotational axis (CORA) and severe sagittal plane deformities第十四頁，共二十二頁。脊柱截骨Type 1 bone-disc-bone osteotomy (BDBO). 第十五頁，共二十二頁。脊柱截骨Type 2 BDBO. 第十六頁，共二十二頁。脊柱截骨Type 3 BDBO. 第十七頁，共二十二頁。脊柱截骨pedic

4、le screws at least two levels below and three levels above A titanium mesh cage can be placed anteriorly if desired.第十八頁，共二十二頁。脊柱截骨Vertebral column resection（VCR）in 1922 by MacLennanindicated for rigid multiplanar deformities, sharp angulated deformities, emivertebra resections,resectable spinal tumours,posttraumatic deformities, and spondyloptosis. 第十九頁，共二十二頁。脊柱截骨第二十頁，共二十二頁。脊柱截骨第二十一頁，共二十二頁。脊柱截骨內(nèi)容(nirng)總結(jié)脊柱畸形截骨術(shù)。失狀位失衡(sh hn)截骨方式Posterior-only。1、Smith-Pet