醫生自傳
醫生著作
醫生演講
發明及發現
手術示範


發明及發現


1.研創「脊柱側彎槓桿力矯法」治療大角度且堅硬的側彎畸型,可以僅一次後路手術即可達到滿意的矯正效果,免除了傳統需另一次前位鬆解手術之必要,減少手術之傷害及提高手術治療之品質及安全性


Reference:
1. Cantilever bending technique for treatment of large and rigid scoliosis.Spine 2003;28:2452-48.
2. 張國華,林建中,陳鴻昌,et al.槓桿力矯正法治療重度僵硬的脊柱側凸畸型。 中華骨科雜誌2007;27(1):43-48.



2.研創「增強腰段側彎自行矯正能力法」,使得手術矯治"S"型側彎時僅手術矯治胸段側彎,更多的腰段側彎能自行矯治而不需手術,減少手術之傷害,提高手術之品質及安全性


Reference:
1. KW Chang, KI Chang, CM Wu. Enhanced capacity for spontaneous correction of lumbar curve in the treatment of major thoracic–compensatory c modifier lumbar curve pattern in idiopathic scoliosis. Spine 2007;32(26):3020-3029.


3.研創「駝峰截骨矯正術」治療老年人骨質疏鬆症骨折所導致之駝背後凸畸型,可大幅減少手術之傷害及危險性,並提高手術矯正之品質


Reference:
1. Apical lordosating osteotomy and minimal segment fixation for the treatment of thoracic or thoracolumbar osteoporotic kyphosis. Spine 2005;30(14):1674-1681.
2. 張國華,杜旻育,陳鴻昌,et al.頂柱前凸截骨術治療胸柱或胸腰段骨質疏鬆性駝背畸形。中國脊柱脊髓雜誌 2006;16:571-5.


4.
研創退化性腰椎側凸後凸畸型矯正法,治療老年人複雜之脊柱畸型
  -依據術前精密的計算及設計可安全的達成令人滿意的矯正效果


Reference:
張國華,陳宗成,張顧議, et al. 退化性腰椎後凸側彎畸型之手術治療。中國脊柱脊髓雜誌2007;17(7):489-493.


5.發現強直性脊柱炎之超強骨癒合能力,可免除手術治療假關節症前位植骨大手術之必要,大幅提升手術治療之安全性及品質


Reference:
1. KW Chang, MY Tu, HH Huang, et al. Posterior correction and fixation without anterior fusion for pseudoarthrosis with kyphotic deformity in ankylosing spondylitis. Spine 2006;31:E408-13.
2. 張國華,陳鴻昌,陳盈佑,et al.後路截骨矯形固定融合治療強直性脊柱炎假關節並脊柱後凸畸型。中國脊柱脊髓雜誌2006;16:358-61.

6.發現強直性脊柱炎並後凸畸型手術矯正新機轉,可增加畸型矯正的幅度及可避免其相關之手術併發症


Reference:
1. KW Chang, HC Chen, YY Chen, et al. Sagittal translation in opening wedge osteotomy for the correction of thoracolumbar kyphotic deformity in ankylosing spondylitis.Spine 2006;31:1137-42.
2. 張國華,陳盈佑,陳鴻昌,et al.矢狀面橫移在以開張式楔形截骨矯正手術治療僵直性脊椎炎後凸畸型之意義。中國脊柱脊髓雜誌2007, in press.




7.研創「前開張後閉合式截骨矯正術」治療嚴重駝背畸型,可僅以一次一位後路手術達到滿意的矯正效果,免除其他手術需二次手術或二位置截骨的治療方式,大幅提升手術的安全性及治療品質

Reference:
1. Closing-opening wedge osteotomy for the treatment of sagittal imbalance. Spine 2007, in press.




8.規範矯正強直性脊柱炎駝背後凸畸型之選擇手術之原則,依此原則而行可避危趨安,達到理想的矯正效果


Reference:
1. KW Chang, YY Chen, CC Lin, et al. Closing wedge osteotomy versus opening wedge osteotomy in ankylosing spondylitis with thoracolumbar kyphotic deformity . Spine 2005;30:1584-93.

9.銳角後凸畸型之少節數矯正法


Reference:
1. KW Chang. Oligosegmental correction of post-traumatic thoracolumbar angular kyphosis. Spine 1993;18:1909-15.

10. 發明頸椎前位移植骨骨內螺釘固定法


Reference:
1. KW Chang, GZ Lin, YW Liu, et al. Intraosseous screw fixation of anterior cervical graft construct after discectomy. J of Spinal disorders 1994;7:126-129.

11.發明第二頸椎齒狀突骨折單支雙螺紋加壓骨釘固定法


Reference:
1. KW Chang, YW Liu, PG Cheng, et al. One herbert double-threated compression screw fixation of displaced type II odontoid fractures. J of Spinal disorders 1994;7:62-69.

12.發明脊柱復位-固定內植入物系統


Reference:
1. KW Chang: A reduction-fixation system for unstable thoracolumbar burst fracture. Spine 1992;17:879-886.

 

 
脊柱畸型矯正實例
嚴重脊柱後凸側彎畸型病例手術現場實況報導
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