Otsuka N Y, Hall J E, Mah J Y
Children's Hospital, Department of Orthopaedic Surgery, McMaster University Medical Center, Hamilton, Ontario, Canada.
Clin Orthop Relat Res. 1990 Feb(251):134-9.
Ten patients with Scheuermann's kyphosis were surgically treated with posterior spine fusion and Harrington heavy compression-rod instrumentation. This procedure relieved pain and deformity in all ten patients. The average follow-up period was 26.6 months. The average curve before surgery was 71.4 degrees and at follow-up examination was 39.3 degrees. The postoperative correction of kyphosis averaged 32 degrees (45%), with an average loss of correction of 7.8 degrees. Posterior fusion with Harrington heavy compression-rod instrumentation may prove to be the procedure of choice in Scheuermann's kyphosis that is severe but flexible on hyperextension with a curve greater than 65 degrees.
十名休曼氏后凸畸形患者接受了后路脊柱融合术和哈灵顿重型加压棒器械固定手术治疗。该手术缓解了所有十名患者的疼痛和畸形。平均随访期为26.6个月。术前平均侧弯角度为71.4度,随访检查时为39.3度。术后后凸畸形矫正平均为32度(45%),平均矫正丢失为7.8度。后路融合加哈灵顿重型加压棒器械固定可能被证明是治疗严重但过伸时可弯曲且侧弯大于65度的休曼氏后凸畸形的首选手术方法。