Wimmer C, Pfandlsteiner T
Klinik für Wirbelsäulenchirurgie mit Skoliosezentrum, Behandlungszentrum Vogtareuth, Krankenhausstr. 20, 83569, Vogtareuth, Deutschland.
Orthopade. 2011 Feb;40(2):135-40. doi: 10.1007/s00132-010-1712-3.
The indications for surgical treatment of thoracic, lumbar, combined and thoracolumbar scoliosis are given for a curvature of the thoracic spine with a Cobb angle more than 50° and more than 45° in the lumbar spine. The maximum Cobb angle is 90°. The aim is the correction of more than 50% in the frontal plane and correction of scoliosis is possible in flexible curvatures up to 90%. By the minimally invasive surgical technique the muscular damage is completely avoided on the convex side but on the concave side this is only partly possible. This is the first report of a muscle preserving minimally invasive surgical technique for the convex side of scoliosis.
对于胸椎、腰椎、联合及胸腰椎脊柱侧弯的手术治疗指征,规定为胸椎曲度的Cobb角大于50°且腰椎曲度的Cobb角大于45°。最大Cobb角为90°。目标是在额状面矫正超过50%,对于柔韧性曲度达90°的脊柱侧弯也可进行矫正。通过微创外科技术,可完全避免凸侧的肌肉损伤,但凹侧仅部分可行。这是关于脊柱侧弯凸侧肌肉保留微创外科技术的首篇报道。