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强直性脊柱炎后凸畸形的外科治疗
作者：刘勇吴叶曹峥高二龙来源：《中国现代医生》2013年第32期
摘要目的探讨外科手术治疗强直性脊柱炎后凸畸形的临床疗效。方法选择我院骨科收治的强直性脊柱炎后凸畸形患者38例，按照患者意愿分为两组，多节段截骨组行多节段楔形截骨，单椎体截骨组行椎弓根V型截骨，术后随诊1～3年，观察所有患者的近期疗效。结果多节段截骨组平均增高（74±12）cm，手术时间平均（42±05）h，术中出血平均（2108±106）mL，明显优于单椎体截骨组；随访所有患者均达到骨性融合，无一例感染、瘫痪、死亡等。结论多节段截骨手术治疗强直性脊柱炎后凸畸形疗效确切，可有效改善后凸畸形。
关键词强直性脊柱炎；后凸畸形；椎弓根椎体楔形截骨；外科治疗
中图分类号R6823；R59323文献标识码B文章编号16739701（2013）32013902
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f龙源期刊网httpwwwqika
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强直性脊柱炎是骨科常见的一种慢性炎性疾病，临床表现为骶髂、腰、背、颈疼痛，晚期可出现脊柱后凸畸形，导致患者不能平视，内科保守治疗疗效欠佳。近几年来，外科手术治疗强直性脊柱炎后凸畸形r