Savini R, Cervellati S, Bettini N, Palmisani M, Bianco T
Centro Scoliosi, Istituto Ortopedico Rizzoli, Bologna.
Ital J Orthop Traumatol. 1991 Mar;17(1):55-63.
Surgical treatment of vertebral deformity due to myelomeningocele has always presented important technical problems. Many complications, the foremost of which pseudarthrosis and infection, are reported in the literature. The authors discuss 14 patients with vertebral deformity from myelomeningocele who were treated with different surgical methods and reviewed after an average of eight years. The only conclusion that can be drawn on the basis of both the literature and the present study is that posterior surgery alone is incapable of guaranteeing stable correction over time for severe deformity. Combined anterior and posterior surgery with spinal fusion up to the sacrum yields better results, and the patient is not required to wear a corset afterward.
脊髓脊膜膨出所致脊柱畸形的手术治疗一直存在重要的技术难题。文献报道了许多并发症，其中最主要的是假关节形成和感染。作者讨论了14例脊髓脊膜膨出所致脊柱畸形患者，他们接受了不同的手术方法治疗，并在平均8年后进行了复查。基于文献和本研究能够得出的唯一结论是，对于严重畸形，单纯后路手术无法保证长期稳定的矫正效果。前后路联合手术并融合至骶骨能取得更好的效果，且术后患者无需佩戴束腰。
