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1980年5月~1991年12月收治脊拄侧弯500例,术后并发急性脊髓功能障碍的8例。此8例中,特发性脊柱侧弯1例,先天性脊柱侧弯及后突7例。脊髓功能障碍表现为双下肢截瘫的3例,单肢瘫4例和Brown-Sequard综合症1例。2小时以内拆除矫正器械,8例中7例脊髓功能完全恢复,1例正在恢复中,作者强调术终缝合伤口前进行唤醒试验和及早拆除置入器械的重要性。作者认为术中随矫正而使脊髓移位、拉长、受压和血管被牵影响供血等均是脊髓功能障碍的原因。
From May 1980 to December 1991, 500 cases of vertebral column flexion and 8 cases of acute spinal cord dysfunction were treated. In the 8 cases, 1 cases of idiopathic scoliosis, congenital scoliosis and kyphosis in 7 cases. Spinal cord dysfunction manifested in 3 cases of paraplegia of both lower limbs, 4 cases of single limbs paralysis and 1 case of Brown-Sequard syndrome. Within 8 hours, orthodontic appliances were removed. In 7 of 8 patients, spinal cord function was fully recovered and 1 patient was recovering. The authors emphasized the importance of performing wake-up tests before sutured sutures and early removal of instruments. The authors believe that surgery with the correction of the spinal cord shift, stretching, compression and blood vessels were distracted by blood supply and so are the cause of spinal dysfunction.