A 27-year-old female patient was admitted to the hospital because of "scoliosis and kyphosis found for 20+ years". After thorough examination, the diagnosis was: 1. Very severe spinal deformity, with 160 degrees of scoliosis and 150 degrees of kyphosis; 2. Thoracic deformity; 3. Very severe impairment of lung function (very severe mixed ventilatory dysfunction).
The preoperative height was 138cm, the weight was 39kg, and the arm length was 160cm.
The patient underwent "cephalopelvic ring traction" one week after admission. The height of the external fixation was continuously adjusted after the operation, and the X-ray films were regularly reviewed to observe the angle changes, and the cardiopulmonary function exercise was also strengthened.
In order to reduce the risk of orthopedic surgery, improve the treatment effect, and strive for more improvement space for patients, "posterior spinal release" is performed during the traction process, and traction is continued after the operation, and finally "posterior spinal correction + bilateral thoracolasty" is performed. ".
The comprehensive treatment of this patient has achieved good results, the scoliosis has been reduced to 50 degrees, the kyphosis has returned to the normal physiological range, the height has increased from 138 cm before operation to 158 cm, an increase of 20 cm, and the weight has increased from 39 kg before operation to 46 kg; cardiopulmonary The function is obviously improved, and the appearance of ordinary people is basically restored.
Post time: Jul-30-2022
