Tsirikos Athanasios I
Scottish National Spine Deformity Centre, Royal Hospital for Sick Children, Edinburgh, UK.
Indian J Orthop. 2010 Jul;44(3):349-53. doi: 10.4103/0019-5413.65146.
Considerable debate exists regarding the pathogenesis, natural history and treatment of Scheuermann's kyphosis. Surgical correction is indicated in the presence of severe kyphosis which carries the risk of neurological complications, persistent back pain and significant cosmetic deformity. This can be achieved through a posterior-only or an anteroposterior approach. Spontaneous fusion in association with Scheuermann's kyphosis has not been previously described. This is an important consideration if surgical correction of the kyphosis is planned. Two patients with severe thoracolumbar Scheuermann's kyphosis who developed spontaneous posterior and anteroposterior fusion across the apex of the deformity are presented. The surgical treatment and final outcome is discussed.
关于休曼氏后凸的发病机制、自然病程及治疗存在大量争议。对于存在神经并发症风险、持续性背痛及明显美容畸形风险的严重后凸，需进行手术矫正。这可通过单纯后路或前后路联合手术来实现。此前尚未有关于休曼氏后凸合并自发融合的描述。若计划对后凸进行手术矫正，这是一个重要的考量因素。本文报告了两名患有严重胸腰椎休曼氏后凸的患者，他们在畸形顶点处出现了自发的后路及前后路融合。并对手术治疗及最终结果进行了讨论。
