Neuro-Spine Program, Division of Pediatric Neurosurgery, Texas Children’s Hospital, Department of Neurosurgery, Baylor College of Medicine, Houston, USA.
J Neurosurg Spine. 2013 Feb;18(2):170-7. doi: 10.3171/2012.11.SPINE12979. Epub 2012 Dec 7.
Spinal arthrodesis was the first successful treatment for scoliosis, performed by Dr. Russell A. Hibbs in 1911 and later by Dr. Fred H. Albee for tuberculosis. In 1914, Dr. H.P.H. Galloway and Dr. Hibbs began using the method to treat neuromuscular scoliosis in patients with poliomyelitis. However, this treatment approach was plagued by loss of deformity correction over time and high pseudarthrosis rates. The turning point in the operative management of spinal deformities began in 1947 with Dr. Paul Randall Harrington when he started a decade-long process to revolutionize surgical treatment of spinal deformities culminating in the advent of the Harrington Rod, the first successful implantable spinal instrumentation system. During the epoch that he was in practice, Dr. Harrington's achievement influenced the technology and art of spine surgery for his contemporaries and the coming generations of spine surgeons. The purpose of this article is to review the life of Dr. Harrington, and how he has arguably come to be known as "Father of the Modern Treatment of Scoliosis."
脊柱融合术是脊柱侧凸的第一种成功治疗方法,由 Russell A. Hibbs 医生于 1911 年首次实施,后来 Fred H. Albee 医生用于治疗肺结核。1914 年,H.P.H. Galloway 医生和 Hibbs 医生开始使用该方法治疗小儿麻痹症患者的神经肌肉性脊柱侧凸。然而,这种治疗方法存在随着时间的推移畸形矫正丢失和假关节形成率高的问题。脊柱畸形手术治疗的转折点始于 1947 年 Paul Randall Harrington 医生,他开始了长达十年的变革性手术治疗脊柱畸形的过程,最终出现了 Harrington 棒,这是第一个成功的可植入脊柱器械系统。在他行医的那个时代,哈林顿医生的成就影响了他同时代人和未来几代脊柱外科医生的脊柱手术技术和艺术。本文旨在回顾哈林顿医生的生平,以及他如何被称为“现代脊柱侧凸治疗之父”。