脊柱脊髓外科

科室特色介绍

1111 脊柱脊髓外科是医院的重点科室。科室成立于1986年，是国内首家集骨科、神经外科、康复科为一体的，重点治疗脊柱、脊髓、脑瘫等疾患的专科。目前，该科室为北京首都医科大学康复医学院的临床康复教研室，为北京首都医科大学博士点，已培养博士、硕士生 6 名；在读研究生11名。科室获省、部、市级科技奖项 5 项。除了具有先进的医疗设备外，还拥有一批国内知名的专家教授及富有临床、科研、教学、护理经验的专业人员。该科室在临床方面，在国内所具有的优势是：有综合多学科的专业力量的一体化治疗，同时在临床治疗的同时应用早期康复措施。

脊柱脊髓损伤的早期治疗与康复

1111迄今为止，我科收治了近万例脊柱脊髓损伤病人，建立了完善的早期治疗和康复模式，不但在急救，脊柱脊髓损伤的手术，脊髓继发性损伤和脊髓损伤后并发征的预防及早期康复方面，处于国内领先水平，具有国内其他任何医院所不具备的优势。

1111脊柱脊髓损伤治疗模式是多临床学科综合治疗。外科手术是其中的一个重要组成部分，正确的选择手术方案，手术时期能起到有效的解除神经压迫、稳定脊柱，有助于病人早期康复。但国内外大量临床经验和基础研究表明：决定脊柱脊髓损伤病人神经恢复好坏的关键处理措施是：正确的急救，防止脊髓二次损伤及早期康复训练，并非手术。因此直接将脊柱脊髓损伤病人送往有经验的专科医院治疗是最关键的。在急救，预防脊髓二次损伤，手术，早期康复，防治并发症等方面，我科已建立一套先进的、完善的、有效的综合治疗模式。

脑瘫的外科与康复

1111脑瘫是一种终身残疾，积极的应对措施应该是早期诊断，终身康复，适当时机的外科介入，来减轻脑瘫残疾程度，提高生活质量。我院于90年在国内首先进行了选择性脊神经后根切断术治疗脑瘫痉挛，使部份脑瘫患者得到康复，并取得了良好的效果。通过十多年来，诊治10000余名脑瘫病例，4000例脑瘫手术的经验，我科已形成一套通过康复--手术--康复的治疗模式，对解除脑瘫肢体痉挛，矫正上肢、腰椎、骨盆、髋膝关节及足等畸形，恢复肢体运动功能，改善躯体平衡等方面都有深入的研究。

PLDD治疗颈椎病、腰椎椎间盘突出症

1111颈椎病和腰椎椎间盘突出以颈肩痛和腰腿痛为特点，是困扰人们日常生活和工作的多发病，也是门诊中的常见病。我科成立激光治疗中心，专门开展PLDD（经皮激光椎间盘减压术）治疗颈椎病和腰椎椎间盘突出症。 PLDD特点是局部麻醉下微创治疗，操作简单，效果明显，并发症少，患者易接受，住院时间短，恢复工作早。

临床治疗范围

1111脊柱骨折、脊髓损伤

1111颈椎病、腰椎间盘突出症、腰椎管狭窄、腰椎滑脱

1111先天性脊柱畸形、脊柱侧弯、脊柱脊髓肿瘤

1111脊柱裂、脊膜脊髓彭出、脊髓拴系综合征、脊髓空洞症

1111脑瘫的肢体痉挛及畸形引起的运动障碍

关骅和周国昌教授在做手术前的检查

Surgery of spine and spinal cord injury
The key department of spine and spinal injury surgery was found in 1986. It provides diagnosis and treatment of spinal diseases, spinal trauma and cerebral palsy, also provides the early rehabilitation of patients with spinal cord injury. The department affords the clinical training and practice for the students from the capital university of medical science, and had been approved to grant Doctor's and Master's degrees. Six graduate students have been granted doctor degree (or master degree) in recent years, and five prizes given by the medical healthy ministry and Beijing scientific technology committee. All members of the Department have extensive experience in the management of patients, some experts in the department, such as professor Guanhua, Hongyi, Lijianjun and Zhouguochang, are popular in China.
Early rehabilitation of patients with spinal cord injury
Up to now, the department has offered services of clinical treatments and rehabilitation for over ten thousand of patients with spinal cord injury and spinal disorders. The department is a flagship in the field of spinal surgery and the early rehabilitation in China.
The treatment of spine and spinal cord injury is related with multidisciplinary knowledge, such as surgery, medicine, rehabilitation and physical therapy. In all of these, the neurological decompression and spinal immobilization by surgery is only the first step, the most important are the rescuing, the prevention from the secondary damage to spinal cord and the early rehabilitation. We have abundant experiences in rescuing, emergency care, the prevention from the secondary damage and the early rehabilitation.
Cerebral palsy surgery and rehabilitation
Cerebral palsy (CP), characterized by loss of movement or nerve functions, is caused by abnormal brain development that occurs during fetal development, or injuries to the brain at the time of birth or within the first month of life. Children with CP usually need special health care throughout their lives to maximize their independence and prevent or treat complications. We performed the first operation of Rizotomy to the patient with CP in 1990. Nearly 10000 patients have been treated and 4000 patients operated in our hospital. We developed the new clinical model of rehabilitation --surgical treatment-- rehabilitation. The model may help loosen tight or stiff muscles or correct problems, such as deformity of hip joints or uneven leg growth.
Percutaneous laser disc decompression. (PLDD) for Degenerative disc conditions
Degenerative disc conditions are characterized as some degree of neck (or low back) pain. Many people may suffer from the disorders in some time of all their lives. The PLDD is a new procedure to shrink and remove a herniated disc. A clinic center of PLDD has been found in our department. Our results with PLDD indicate earlier return to work and earlier return to previous daily activities.
Clinical problems
Trauma of the spine, spinal cord injury, Degenerative disc conditions, Spinal stenosis, Spondylolysthesis, Scoliosis, Spine Deformity, spine tumur.and cerebral palsy
Illustration: a neurological examination is giving by professor Guanhua and Zhouguochang