Vialle Raphaël, Khouri Nejib, Guillaumat Michel
Department of Paediatric Orthopaedics, Armand Trousseau Hospital, 26, Avenue du Docteur Arnold Netter, 75571 Paris, Cedex 12, France.
Childs Nerv Syst. 2006 Jul;22(7):704-9. doi: 10.1007/s00381-005-0011-5. Epub 2006 Mar 23.
We report our experience of five cases in adolescents with spastic quadriplegia who had primarily sagittal plane deformity with hyperlordosis of the lumbar spine, an uncommon condition in cerebral palsy spinal deformity.
Three boys and two girls, 13 to 19 years old, were surgically treated for excessive lumbar lordosis which made sitting difficult. Bilateral hip flexion contractures were present in all cases with a very horizontal sacrum and, in four cases, associated with pelvic anteversion. Two patients were surgically treated by posterior spinal fusion and instrumentation, and three patients had anterior discectomy and fusion prior to posterior fusion and instrumentation.
Hyperlordosis was reduced by 26 to 48 degrees , and the horizontal sacrum was corrected by 15 to 35 degrees , which enabled the patients to sit comfortably.
我们报告了5例青少年痉挛性四肢瘫患者的治疗经验，这些患者主要存在矢状面畸形伴腰椎前凸过度，这在脑瘫性脊柱畸形中是一种罕见的情况。
3名男孩和2名女孩，年龄在13至19岁之间，因腰椎前凸过度导致坐姿困难而接受手术治疗。所有病例均存在双侧髋关节屈曲挛缩，骶骨非常水平，4例伴有骨盆前倾。2例患者接受了后路脊柱融合内固定手术，3例患者在进行后路融合内固定之前先进行了前路椎间盘切除融合术。
腰椎前凸减少了26至48度，骶骨水平得到了15至35度的矫正，使患者能够舒适地坐下。
