Paonessa K J, Engler G L
Norwich Orthopedic Group, Connecticut.
Spine (Phila Pa 1976). 1992 Aug;17(8 Suppl):S249-53. doi: 10.1097/00007632-199208001-00006.
Back pain questionnaires were completed by a study group of 103 idiopathic scoliosis patients fused with Harrington rods from L3 or lower and a control group of 29 patients fused to L2 or above. Minimum time to follow-up examination was 2 years. The study group had a higher rate of secondary surgeries for complications or late disc disease below the fusion, a higher back pain score, more difficulties with normal daily activities, needed more regular pain medications, and had more episodes of back pain. Patients older than 30 years at surgery had more of these problems if fused to L3 or more caudally. The amount of remaining lumbar lordosis correlated significantly with the difficulty of normal daily activities.
103名特发性脊柱侧弯患者组成的研究组完成了背痛调查问卷，这些患者采用哈林顿棒从L3或更低水平进行融合，另有29名患者组成的对照组从L2或更高水平进行融合。随访检查的最短时间为2年。研究组因并发症或融合以下的晚期椎间盘疾病进行二次手术的发生率更高，背痛评分更高，日常正常活动困难更多，需要更频繁的止痛药物，且背痛发作次数更多。手术时年龄超过30岁的患者，如果从L3或更靠尾侧进行融合，这些问题会更多。剩余腰椎前凸的程度与日常正常活动的困难程度显著相关。
