Gregg Fredrick O'Neal, Zhou Haitao, Bertrand Styles Leslie
Southern Bone/Joint Specialists, Hattiesburg, MS, USA.
J Long Term Eff Med Implants. 2012;22(1):11-5. doi: 10.1615/jlongtermeffmedimplants.v22.i1.20.
Posterior spinal fusion with instrumentation to the pelvis (the Galveston Procedure) is widely accepted as an effective treatment for neuromuscular scoliosis. Unit rod instrumentation is commonly used in these cases, but it is not universally accepted as superior to separate Luque rods. This study is a retrospective review of 115 consecutive cases in which the unit rod was used. The following statistics were collected from the records of these patients: operative time, estimated blood loss, PICU stay, hospital stay, transfusion rate, complication rate, scoliosis correction, and correction of pelvic obliquity . Results at 2-year follow-up were compared to those reported in the literature and to results previously reported from the same facility in which separate Luque rods were used. The unit rod provides excellent control of pelvic obliquity and superior scoliosis correction compared with separate Luque rods. Improvements were also found in reduced operative times, lower blood loss, a lower complication rate, and shorter hospital stay.
后路脊柱融合并固定至骨盆（加尔维斯顿手术）被广泛认为是治疗神经肌肉型脊柱侧凸的有效方法。在这些病例中通常使用单棒固定，但它并非被普遍认为优于单独的鲁克棒。本研究是对连续115例使用单棒的病例进行的回顾性分析。从这些患者的记录中收集了以下统计数据：手术时间、估计失血量、重症监护病房停留时间、住院时间、输血率、并发症发生率、脊柱侧凸矫正情况以及骨盆倾斜度的矫正情况。将2年随访结果与文献报道结果以及该机构先前使用单独鲁克棒时报告的结果进行了比较。与单独的鲁克棒相比，单棒在控制骨盆倾斜度方面表现出色，脊柱侧凸矫正效果更佳。在缩短手术时间、减少失血量、降低并发症发生率以及缩短住院时间方面也有改善。
