Posterior Pedicle Screw Placement System In The Treatment Of Idiopathic Scoliosis The Clinical Curative Effect Of Research

BackgroundScoliosis refers to the spine of one or several section to lateral bending with vertebral rotating 3d spinal deformity. International Scoliosis Research institute (SRS), Scoliosis true science of Scoliosis measuring Cobb:definition method of X line of positive stand to lateral deviation curvature spinal deformity of 10°above, especially in patients with severe influence of teenagers, the physical and mental health. Scoliosis in adolescence, young even babies had scoliosis ratio is rising. But they are more teenagers and adults have greater risk:the development of eight to which will seriously impede breathing, influence cardiorespiratory function. Thus cause death. Young children scoliosis surgery, or an operation opportunities may be lost. Adolescent idiopathic scoliosis among the most common, pathogenesis unclear. With spinal pedicle screw internal fixation system, and the continuous improvement of 3d orthopaedic technology theory widely, scoliosis deformity effectively. Among them, some patients postoperative appeared decompensated phenomenon, it makes people aware of the need to a comprehensive and effective classification system for guidance. And that of other type system, effective guidance by the scoliosis orthopaedic surgery [10]. Various type has its unique characteristics, has also interconnected. How to distinguish the malformation type application characteristics, how to choose the correct fusion segments, scoliosis orthopaedic surgery.Research purposes1 system review scoliosis posterior fixation wires idiopathic scoliosis surgery clinical effects.2 that type system discussed in scoliosis posterior pedicle fixation wires and comparison of applied value in this type of orthodontic intraoperative significance.3 the correct selective fusion of patients with thoracic spinal corrective side protruding, research and analysis of clinical effect of vertebral fusion across the stage after the trunk.4 understanding and application of international Scoliosis social quality of life questionnaire (Scoliosis true science-22, SRS-22) were associated with health assessment and analysis of the quality of life.Research methods1 since September 2005 collected in December 2009-once in our line scoliosis posterior pedicle fixation nail orthod adolescent idiopathic spinal deformity,30 cases of 11 cases, women, men aged 19 cases,11-23 years, average age 14.2years old.1-5 years history,30 cases of idiopathic scoliosis. According to that type, type that I divided into 7 cases,10 cases II type, type III IV 8 cases,3 cases, V type 2 cases. Preoperative spinal deformity coronal Cobb Angle of 45°- 72°, on average,58.1°. Patients were followed up 6-28 months, average 1.64 months. According to the lateral bending the preoperative and postoperative follow-up, patients when light of X line and the standing coronary Cobb, overall Angle measurement outcomes.2 all cases that according to the application of system type, scoliosis patients using internal fixation of posterior pedicle screws orthopedic fusion surgery system. According to the guiding principle of the type that points to surgery patients, according to results of orthopaedic surgery and follow-up results will be 30 cases of analysis and evaluation of postoperative decompensated groups, analyzes on the operation that points.3 according to international Scoliosis social quality of life questionnaire (Scoliosis true science-22, SRS-22) for the Research of the 23 patients before and after the quality of life score.Research results 1 after all the cases were followed up 6-28 months, average 1.64 months. Preoperative coronal Cobb 58.1°Angle of average, on average, average 21.3°after corrective rate for 63.0%, Top vertebral shift from preoperative average 2.7 cm, average 1.1 cm, after an average rate of 78.9% kyphosis, Rotating malformation (Nash-Moe law) for theⅠ-Ⅲpreoperative and postoperative average orthopaedic I degree. Average height than preoperative 7cm. All patients and no spinal cord injuries, did not happen any loose nails, broken rod phenomenon, bone healing rate is high, reached the overall balance of spine. After a satisfactory with spinal healing, and keep the spinal motion, no certain crankshaft phenomenon and additional phenomenon, no other complications. Follow-up correction degrees lost 4.5 degrees.2 overall treatment:preoperative total 30 cases of existing coronal trunk lost balance and postoperative follow-up still seven terminal (25%).3 adopt international Scoliosis social quality of life questionnaire (Scoliosis true science-22, SRS-22) preoperative and postoperative quality of life score, found the posterior orthopaedic surgery patients from the heart, functional and quality of life for rational has been greatly improved.4 the chest curved correction result:30 patients with thoracic Cobb bending Angle of preoperative and postoperative average 58.1°, correct rate 63.0%21.3°, Preoperative compensatory Cobb bent on average range, after°Angle, correct rate 53.6% 17.5°research conclusion1 posterior spinal pedicle fixation system nail scoliosis wires to achieve good results.2 idiopathic scoliosis that type system can effectively guide orthopaedic surgery treatment, On the basis of correct classification, choosing the correct vertebral fusion range of surgical correction, moderately successful play more important role. 3 the international understanding and application of Scoliosis social quality of life questionnaire (Scoliosis true science-22, SRS-22) may help us better understand oneself of preoperative and postoperative patients with self evaluation and quality of life.4 the effective integration of bone graft as soon as possible after achieved good results, and to prevent false joints, and given the strong fixation. In order to increase their ability to promote bone healing, bone graft...