D'Astous Jacques L, Sanders James O
Department of Orthopaedic Surgery, University of Utah Orthopaedic Center, 590 Wakara Way, Salt Lake City, UT 84108, USA.
Orthop Clin North Am. 2007 Oct;38(4):477-84, v. doi: 10.1016/j.ocl.2007.03.006.
There is little consensus among spinal deformity surgeons as to the best way to treat infantile or early-onset scoliosis. Bracing may or may not be effective, and subcutaneous rods have a high complication rate. Current techniques of casting as championed by Min Mehta and Jean Dubousset are presented as is the use of halo-gravity traction for the more severe cases. We firmly believe that "outdated" techniques, such as casting and traction, still play an important role in the treatment of this challenging problem.
对于如何以最佳方式治疗婴儿型或早发性脊柱侧弯,脊柱畸形外科医生之间几乎没有共识。支具治疗可能有效,也可能无效,而且皮下棒的并发症发生率很高。文中介绍了由Min Mehta和Jean Dubousset倡导的当前石膏技术,以及针对更严重病例使用的头环重力牵引。我们坚信,诸如石膏固定和牵引等“过时”技术在治疗这一具有挑战性的问题中仍发挥着重要作用。