Ye Q, Wu Z, Qiu G, Lin J, Wang Y, Li S
Department of Orthopedics, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing 100730.
Zhonghua Wai Ke Za Zhi. 1998 Dec;36(12):707-10, 149.
To investigate the effectiveness of the treatment of scoliosis with different surgical methods.
125 cases of scoliosis less than 100 degrees treated during 14 years (1984 - 1997) were analyzed. Different operative methods were compared for their advantages and disadvantages, i.e. results and complications 10 months after operation and follow-up.
Harrington instrumentation was less effective in scoliotic curve correction and had more complications than other procedures. Luque technique needed longer operation time for wire passage at each level and had risk of neurological damage. CD and Zielke method showed 10% - 20% curve correction. No dislodgment of hook and fractured rods was found in the CD group. Anterior release plus posterior instrumentation was superior to other techniques.
Treatment of scoliosis with anterior release plus posterior CD is practical for children before a new technique without spinal fusion is developed.
探讨不同手术方法治疗脊柱侧弯的有效性。
分析1984年至1997年14年间治疗的125例度数小于100度的脊柱侧弯病例。比较不同手术方法的优缺点，即术后10个月及随访时的结果和并发症。
哈灵顿器械在脊柱侧弯矫正方面效果较差，且并发症比其他手术方法更多。鲁克技术在每个节段穿钢丝所需手术时间更长，并有神经损伤风险。CD和齐尔克方法显示侧弯矫正率为10% - 20%。CD组未发现钩子移位和棒材断裂。前路松解加后路器械固定优于其他技术。
在开发出无需脊柱融合的新技术之前，对于儿童脊柱侧弯，采用前路松解加后路CD固定治疗是可行的。
