Onimus M, Michel C R, Allègre G, Caton J, Socquet L
Rev Chir Orthop Reparatrice Appar Mot. 1979 Mar;65(2):91-100.
The authors have attempted to assess the efficiency of an articulated brace in the treatment of juvenile kyphosis (Scheuermann's disease and idiopathic kyphosis). Two series of patients were compared. Patients in both series were treated in a first stage by a plaster cast and in a second stage by a bivalve brace in the first series and an articulated brace in the second series. The technique of treatment by a plaster cast and by the brace is fully described. It is concluded that control of the lumbar lordosis is of great importance. The results were better with an articulated brace. The indications for treatment are given depending on the age at the onset of treatment, the type of spine deformity and its severity. In some cases of severe dorsolumbar kyphosis, surgery may be indicated.
作者试图评估一种活动式支具治疗青少年脊柱后凸(休曼氏病和特发性脊柱后凸)的效果。比较了两组患者。两组患者在第一阶段均采用石膏固定治疗,在第二阶段,第一组采用双瓣支具,第二组采用活动式支具。详细描述了石膏固定和支具治疗技术。得出结论,控制腰椎前凸非常重要。使用活动式支具的效果更好。根据治疗开始时的年龄、脊柱畸形类型及其严重程度给出了治疗指征。在一些严重的胸腰段脊柱后凸病例中,可能需要手术治疗。