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成人重度脊柱侧弯,超过100度。183例手术治疗病例

[Major scoliosis, over 100 degrees, in adults. 183 surgically treated cases].

作者信息

Stagnara P, Fleury D, Fauchet R, Mazoyer D, Biot B, Vauzelle C, Jouvinroux P

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1975 Mar;61(2):101-22.

PMID:127344
Abstract

Most severe scoliosis and kyphoscoliosis are not unfrequent in European countries. The purpose of their treatment is not only cosmetic but, often, vital. Patients are hypotrophic and their vital capacities usually very poor. Since 1952, the authors have treated (partial, reduction and fusion) 183 patients: with curves above 100 degrees (101 degrees-203 degrees). Reduction was obtained by distraction cast or halo-traction. Surgical treatment (one or two stages) used Harrington rods and fusion with a large amount of iliac bone. These procedures are dangerous for the medullary function. Controls must be performed during the operative distraction. Follow up studies demonstrated the stability of the obtained reductions.

摘要

在欧洲国家,最严重的脊柱侧凸和脊柱后侧凸并不罕见。其治疗目的不仅是美观,而且往往关乎生命。患者体型消瘦,肺活量通常很差。自1952年以来,作者已治疗(部分、复位和融合)183例患者:侧弯角度超过100度(101度至203度)。通过撑开石膏或头环牵引实现复位。手术治疗(一或两阶段)采用哈灵顿棒并融合大量髂骨。这些手术对脊髓功能有风险。术中撑开时必须进行监测。随访研究证实了所获复位的稳定性。

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