Farsetti P, Tudisco C, Caterini R, Ippolito E
Department of Orthopaedic Surgery, University of Reggio Calabria, Italy.
Arch Orthop Trauma Surg. 1991;110(3):165-8. doi: 10.1007/BF00395802.
Twelve patients with juvenile kyphosis and eight patients with idiopathic kyphosis were reviewed at an average follow-up of 19 years. The average age of the patients at follow-up was 33 years (range 26-45 years). All the patients but one, who had a posterior fusion of the dorsal spine, had been treated with a plaster cast jacket followed by a plastic brace. At the end of treatment there had been an improvement of about 30% on the original curves in both juvenile and idiopathic kyphosis. At follow-up, however, all the patients had lost the correction obtained and the curves had become worse than originally, those in idiopathic kyphosis more so than those in juvenile kyphosis. Despite the increase in their angular deformity, all the patients managed fairly well and only two complained of distressing back pain.
对12例青少年脊柱后凸患者和8例特发性脊柱后凸患者进行了回顾性研究，平均随访19年。随访时患者的平均年龄为33岁（范围26 - 45岁）。除1例接受了胸椎后路融合术的患者外，所有患者均先采用石膏背心治疗，随后使用塑料支具。治疗结束时，青少年脊柱后凸和特发性脊柱后凸的原始曲度均改善了约30%。然而，在随访时，所有患者均失去了所获得的矫正效果，曲度比最初更差，特发性脊柱后凸患者的曲度比青少年脊柱后凸患者的曲度恶化更明显。尽管角状畸形有所增加，但所有患者情况尚可，只有2例患者抱怨有令人苦恼的背痛。
