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1、脊柱(jzh)(jzh)畸形截骨术 成人严重的僵硬的脊柱畸形，包括冠状位和失状位的畸形。 通过截骨最终取得失状位和冠状位的平衡，缓解疼痛，坚固的融合(rngh)及预防进一步畸形。 第一页，共二十二页。脊柱截骨脊柱截骨第二页，共二十二页。脊柱截骨脊柱截骨第三页，共二十二页。脊柱截骨脊柱截骨失状位失衡(sh hn)(sh hn)1、节段性tape1（segmental）:SVA5cm without knee flexion or hip hyperextension Ideal sagittal alignment is described as SVA50 mm, PT 12 cm), sha
2、rp, angular kyphosis etl；第十一页，共二十二页。脊柱截骨脊柱截骨A wide laminectomy is performedOsteotomy line horizontal to the sacrumPlacing the temporary rodclosed over the rods while the hips and knees are hyperextended第十二页，共二十二页。脊柱截骨脊柱截骨Interbody fusion can be done as either a TLIF or an ALIF procedure第十三页，共二十二页。脊柱
3、截骨脊柱截骨Bone-disc-bone osteotomy (BDBO) 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第十四页，共二十二页。脊柱截骨脊柱截骨Type 1 bone-disc-bone osteotomy (BDBO). 第十五页，共二十二页。脊柱截骨脊柱截骨Type 2 BDBO. 第十六页
4、，共二十二页。脊柱截骨脊柱截骨Type 3 BDBO. 第十七页，共二十二页。脊柱截骨脊柱截骨pedicle screws at least two levels below and three levels above A titanium mesh cage can be placed anteriorly if desired.第十八页，共二十二页。脊柱截骨脊柱截骨Vertebral column resection（VCR）in 1922 by MacLennanindicated for rigid multiplanar deformities, sharp angulated deformities, emivertebra resections,resectable spinal tumours,posttraumatic deformities, and spondyloptosis. 第十九页，共二十二页。脊柱截骨脊柱截骨第二十页，共二十二页。脊柱截骨脊柱截骨第二十一页，共二十二页。脊柱截骨脊柱截骨内容(nirng)总结脊柱畸形截骨术。失状位失衡(sh hn)截骨方式Posterior-only。1、Smith-Petersen osteotomy (SPO)。3、bone-disc-bone osteotomy (BDBO)第二十二页，共二十二页。脊柱截骨
