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Correction of Thoracic Kyphosis in Ankylosing Spondylitis using Multiple Spinal Osteotomy, and Combined Zielke's DKS and Posture Correction-Fixation

後位多節切骨術,及Zielke's DKS和姿勢矯正一固定治療僵直性脊椎之胸椎駝背畸形

摘要


”從1987至1992年間,共有二十七位因僵直性脊椎炎導致胸椎駝背畸型病例,以後位多節切骨術,及Zielke DKS姿勢矯正-固定治療。所有病人均經至少一年的追蹤,並都得到良好的矯正,併發症很少,手術後平均駝背畸型矯正31.5度,在追蹤期平均喪失3.5度。手術平均身高增加8.5公分,在追蹤期平均喪失1.7公分。 這個方法對因僵直性脊椎炎所導致之胸椎駝背畸型提供一安全有效的外科治療法且可免去前位手術。

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並列摘要


Between 1987 to 1992, 27 patients with thoracic kyphosis due to anky losing spondylitis(AS) were treated with posterior multiple dorsal osteotomies, and combined Zielke's DKS and posture correction-fixation. All patients had at least one year follow-up and all obtained a well balanced trunk profile. Complications were mininal and mild. After operation the average kyphosis correction was 31.5°with subsequent average loss of 3.5° at final follow-up. The immediate height gain was 8.5cm with subsequent average loss of 1.7cm at final follow-up. This method offers a safe and effective surgical treatment and omits anterior osteotomy for thoracic kyphosis in AS patients.

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