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脊柱侧弯治疗中的急性神经并发症。脊柱侧弯研究学会报告。

Acute neurological complications in the treatment of scoliosis. A report of the Scoliosis Research Society.

作者信息

MacEwen G D, Bunnell W P, Sriram K

出版信息

J Bone Joint Surg Am. 1975 Apr;57(3):404-8.

PMID:1123394
Abstract

A survey conducted by the Scoliosis Research Society found eighty-seven patients with acute neurological complications resulting from the treatment of scoliosis. The incidence of these complications was determined to be 0.72 per cent. Seventy-four major complications involving the spinal cord were reported, half of them complete paraplegia and half partial paraplegia. Thirty-six per cent recovered completely, 32 per cent had partial recovery, and 32 per cent had no return of function. Thirteen minor complications involving cranial and peripheral nerves were reported. Major complications occurred in forty-two cases of posterior spine fusion with Harrington instrumentation and in twenty cases of posterior spine fusion without instrumentation. Six patients became paraplegic following skeletal traction alone.

摘要

脊柱侧弯研究协会开展的一项调查发现,87例患者因脊柱侧弯治疗出现急性神经并发症。这些并发症的发生率确定为0.72%。报告了74例涉及脊髓的严重并发症,其中一半为完全性截瘫,一半为不完全性截瘫。36%的患者完全康复,32%的患者部分恢复,32%的患者功能未恢复。报告了13例涉及颅神经和周围神经的轻微并发症。42例使用哈灵顿器械的后路脊柱融合术患者以及20例未使用器械的后路脊柱融合术患者出现了严重并发症。6例患者仅在骨骼牵引后就出现了截瘫。

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J Bone Joint Surg Am. 1975 Apr;57(3):404-8.
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