Böhm H, Harms J, Donk R, Zielke K
Rehabilitationsklinik Karlsbad-Langensteinbach, Federal Republic of Germany.
Clin Orthop Relat Res. 1990 Sep(258):56-61.
Reconstruction of normal geometric relationships, regardless of original pathology, has to be the goal when treating angular kyphosis. Since anterior and posterior spinal structures are involved, successful decompression, correction, and stabilization require both dorsal and ventral surgery. By using segmental transpedicled and ventrolateral Instrumentation System implants, permanent fixation can be achieved. As a result, the length of the compression spondylodesis and fusion time are short. pedicular anchorage and implant design leave the joints and ligamentum flavum of healthy neighboring segments untouched. In the last five years, over 570 kyphotic deformities, including congenital kyphosis, spondylitis, tumors, and acute and neglected fractures, have been treated with this method. During a three- to five-year follow-up period of 40 patients with posttraumatic kyphoses, no additional neurologic damage, pseudarthrosis, or substantial loss of correction occurred.
治疗角状后凸时，无论原发病理如何，恢复正常的几何关系都应是目标。由于脊柱的前后结构均受累，成功的减压、矫正和稳定需要进行后路和前路手术。通过使用节段性经椎弓根和腹外侧内固定系统植入物，可以实现永久固定。因此，压缩性脊柱融合术的长度和融合时间较短。椎弓根锚固和植入物设计不会触及健康相邻节段的关节和黄韧带。在过去五年中，已有超过570例后凸畸形，包括先天性后凸、脊柱炎、肿瘤以及急性和陈旧性骨折，采用此方法进行了治疗。在对40例创伤后后凸患者进行的三到五年随访期内，未出现额外的神经损伤、假关节形成或矫正的显著丢失。
