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[杜氏肌营养不良症脊柱畸形的外科治疗]

[Surgical treatment of spinal deformities in Duchenne muscular dystrophy].

作者信息

Bellen P, Hody J L, Clairbois J, Denis N, Soudon P

机构信息

l'Unité pour la Scoliose et le Handicap-Adjoint au service d'Orthopédie Traumatologie, Clinique Ste Anne, Bruxelles, Belgique.

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1992;78(7):470-9.

PMID:1306582
Abstract

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.

摘要

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。

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1
[Surgical treatment of spinal deformities in Duchenne muscular dystrophy].[杜氏肌营养不良症脊柱畸形的外科治疗]
Rev Chir Orthop Reparatrice Appar Mot. 1992;78(7):470-9.
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[Neuromuscular deformity of the pelvis and its surgical treatment].[骨盆神经肌肉畸形及其外科治疗]
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[Surgery of the spine in Duchenne's muscular dystrophy].[杜氏肌营养不良症的脊柱手术]
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The operative treatment of scoliosis in Duchenne muscular dystrophy.杜氏肌营养不良症脊柱侧弯的手术治疗
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Spinal deformities and wheelchair seating in Duchenne muscular dystrophy: twenty years of research and clinical experience.杜氏肌营养不良症中的脊柱畸形与轮椅坐姿:二十年的研究与临床经验
Semin Neurol. 1995 Mar;15(1):29-37. doi: 10.1055/s-2008-1041004.
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Advantage of early spinal stabilization and fusion in patients with Duchenne muscular dystrophy.
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[Luque's segmental spinal instrumentation. Preliminary results apropos of its use for scoliosis due to progressive muscular dystrophy].[卢克节段性脊柱内固定术。关于其用于进行性肌营养不良所致脊柱侧凸的初步结果]
Acta Orthop Belg. 1985 Sep-Oct;51(5):749-70.
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[The effects of spinal fusion on respiratory function and quality of life in Duchenne muscular dystrophy].[脊柱融合术对杜氏肌营养不良症呼吸功能及生活质量的影响]
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[Role and indications for surgery in Duchenne de Boulogne muscular dystrophy with rapid development].[杜兴型进行性肌营养不良快速进展型的手术作用及指征]
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Segmental spinal instrumentation for correction of scoliosis.用于矫正脊柱侧弯的节段性脊柱内固定术。
Clin Orthop Relat Res. 1982 Mar(163):192-8.

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Surgery for scoliosis in Duchenne muscular dystrophy.杜氏肌营养不良症脊柱侧弯的手术治疗
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Multiaxial high-modularity spinopelvis (HMSP) fixation device in neuromuscular scoliosis: a comparative study.
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Eur Spine J. 2014 Mar;23(3):543-9. doi: 10.1007/s00586-013-3048-2. Epub 2013 Dec 18.
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Spinal Deformity Correction in Duchenne Muscular Dystrophy (DMD): Comparing the Outcome of Two Instrumentation Techniques.杜氏肌营养不良症(DMD)的脊柱畸形矫正:两种内固定技术的疗效比较
Asian Spine J. 2011 Mar;5(1):43-50. doi: 10.4184/asj.2011.5.1.43. Epub 2011 Mar 2.