Bellen P, Hody J L, Clairbois J, Denis N, Soudon P
l'Unité pour la Scoliose et le Handicap-Adjoint au service d'Orthopédie Traumatologie, Clinique Ste Anne, Bruxelles, Belgique.
Rev Chir Orthop Reparatrice Appar Mot. 1992;78(7):470-9.
Forty seven Duchenne Muscular Dystrophy patients, operated on for spinal deformity with segmental spinal instrumentation according to Luque's technique, are reviewed with a mean post-operative follow up of 4 years 4 months. The study of the results obviously showed the interest of Luque Galveston technique for the treatment of severe curves with pelvic obliquity, whereas Dove's rectangle is an interesting choice for the early instrumentation. A total spinal arthrodesis can probably be avoided in these patients, which often demonstrate a satisfying spontaneous fusion after instrumentation. The general and mechanical complications are described, according to the consequences they have on the management technique of these patients.
47例杜氏肌营养不良症患者接受了脊柱畸形手术,采用Luque技术进行节段性脊柱内固定,术后平均随访4年4个月。对结果的研究明显显示,Luque Galveston技术对于治疗伴有骨盆倾斜的严重脊柱侧弯很有价值,而Dove矩形对于早期内固定是一个不错的选择。在这些患者中可能可以避免进行全脊柱融合术,因为他们在接受内固定后往往会出现令人满意的自发融合。根据这些并发症对患者治疗技术的影响,描述了一般并发症和机械并发症。