De Maio Fernando, Dolan Lori A, De Luna Vincenzo, Weinstein Stuart L
Department of Orthopaedic Surgery, 01026 JPP, University of Iowa Hospitals and Clinics, 200 Hawkins Drive Iowa City, Iowa 52242, USA.
Iowa Orthop J. 2007;27:28-39.
This paper evaluates the efficacy the Moss-Miami System instrumentation for surgical treatment of spinal deformity. Eight-five patients with AIS underwent a posterior spinal fusion with using this system between 1994 and 1998. Radiographs of the spine were taken preoperatively, at discharge, one year after surgery, and at the latest follow-up (average of 2.5 year, range 2 to 6 years). All radiographs were assessed for curve magnitude, coronal balance, kyphosis, lordosis, junctional kyphosis, and sagittal balance. The Scoliosis Research Society instrument was administered at the final follow-up. The average curve correction ranged from 53 to 65 percent. All patients showed solid fusion by final follow-up. Three patients required a second operation for complications related to their scoliosis; two patients showed a rod fracture without evidence of pseudoarthrosis or curve progression. Two transient neurological complications related to the surgery were observed. SRS results were favorable with regard to function and cosmetic appearance.
本文评估了莫斯-迈阿密系统器械在脊柱畸形手术治疗中的疗效。1994年至1998年间，85例特发性脊柱侧凸患者使用该系统进行了后路脊柱融合术。术前、出院时、术后一年以及最新随访（平均2.5年，范围2至6年）均拍摄了脊柱X线片。对所有X线片进行了曲度大小、冠状面平衡、后凸、前凸、交界区后凸和矢状面平衡的评估。在最后随访时使用了脊柱侧凸研究学会的器械。平均曲度矫正范围为53%至65%。所有患者在最后随访时均显示融合牢固。3例患者因脊柱侧凸相关并发症需要二次手术；2例患者出现棒体骨折，但无假关节或曲度进展的证据。观察到2例与手术相关的短暂性神经并发症。脊柱侧凸研究学会在功能和外观方面的结果良好。
