Abstract：Objective To analyze clinical characteristics of the congenital scoliosis with coronal sacral tilt and discuss the outcome for posterior correction.Methods A retrospective study was made in 365 cases with congenital scoliosis to pick out 11 cases whose sacrum tilted in coronal plane from January 2007 to December 2013. All the cases were lumber deformity and there were 6 males and 5 females aged from 4 to 34 years with the mean age of 13.5 years. We measured pre-operative and postoperative parameters such as coronal sacral slope(CSS), Cobb angle, clavical angle(CA), Apex-CSVL, lumber lordosis(LL), sacral slope(SS), pelvic index(PI) and pelvic tilt(PT), to smake the comparative analysis.Results There were no differences between pre-operative and postoperative parameters such as CSS, CA, LL, PI and PT(T=12.5, 16.0, 18.5,18.0, 19.5, respectively, all P values＞0.05), and the differences between pre-operative and past-operative parameters such as Cobb angle, Apex-CSVL and SS were statistically significant(T=0.0, 0.0, 5.0, respectively, all P values<0.05), the mean of the Cobb angle, Apex-CSVL and SS had been separately improved from 48.5° to 17.4°, 3.2 cm to 1.8 cm, 28.1° to 33.8°.Conclusions Coronal sacral tilt is usually companied with the lumber deformity, LL and SS decrease than normal. Correction can improve the balance in corona plane as well as saggital plane.
冯毅,赵胜,吕智,卫小春. 先天性脊柱侧凸合并冠状面骶骨倾斜的手术治疗[J]. 中华解剖与临床杂志, 2014, 19(5): 363-366.
Feng Yi, Zhao Sheng, Lyu Zhi, Wei Xiaochun. Treatment for the congenital scoliosis with the coronal sacral tilt. Chinese Journal of Anatomy and Clinics, 2014, 19(5): 363-366.
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