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Spinal Osteoid Osteoma Merge The Spinal Deformity Early Diagnosis And Surgical Options To Explore

Posted on:2013-05-25Degree:MasterType:Thesis
Country:ChinaCandidate:C X LiuFull Text:PDF
GTID:2234330395466236Subject:Surgery
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ObjectiveSpinal osteoid osteoma merger spinal deformity is two spinal andspecialized subject for the intersection, diagnosis and preoperatie course overa long period of time, this kind of patient diagnosis is not difficult, but the keypoint is that for the understanding of the disease. This paper discusses thespinal osteoid osteoma merger spinal deformity in the early diagnosis ofpatients and patients in this operation method choice and analysis of thecurative effect.MethodRetrospective analysis from2009.02to2011.06, patients were6cases,lumbar4cases, thoracic vertebra in2cases. Preoperative course6-60months(mean24months), all patients were performed to stand the spine X-ray、CTscan and MRI,.1patients do simple tumornest resection, the other5caseswere performed tumor nest resection and short fixation.Statistical methods toanalysis preoperative and postoperative variation with COBB.ResultsAll the patients were well carry out the operation, an average of21°anglepreoperative COBB (11°to30°),5patients after COBB angle significantlyreduced, average6°(2°-11°), correct rate56%-81.82%(mean69.89%), only one case COBB angle no change, preoperative VAS6(5-7), postoperativeVAS0(0-1). All patients underwent the pathology are osteoid osteoma. Theaverage follow-up19months and postoperative follow-up pain symptomswithout recurrence.Conclusion1、 Through the typical pain characteristics and history, stand ax-rays and CT scan and MRI inspection, Spinal osteoid osteomamerger spinal deformity diagnosis is not difficult, but the key pointis that for the understanding of the disease.2、 In such a situation the major curve was always concave to theside of the lesion.3、 Surgical treatment for such patients not only clinical symptomsrelief well, but also spinal deformity correction and prevent theaggravating effect is obvious.4、 Simple operation to remove sarcoma nest or short fixed betweenvertebra and interbody fusion for correction scoliosis deformityhave gained good effects, does not need to side deformity of thesection for long fixed...
Keywords/Search Tags:spinal deformity, osteoid osteoma, diagnosis, surgical treatment
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