Kerboul B, Courtois B
Clinique St Michel et Ste Anne, Brest.
J Chir (Paris). 1989 Mar;126(3):193-8.
The Hartshill frame is method for segmental osteosynthesis of the spine. It is attached at each vertebral level by sub-laminal metal wires. This frame therefore ensures immediate stability and avoids the need for a post-operative corset. It enables correction of frontal deformities (scoliosis) whilst retaining sagittal physiological curves (lumbar lordosis--dorsal kyphosis). It ensures the fixation of posterior spinal instability (destruction of posterior ligaments and bone tissue, spondylolisthesis, etc.). The Hartshill frame can thus be seen to be a posterior brace. It has been used in 92 patients, (53 lumbar disorders, 10 cases of scoliosis, 4 of kyphosis, 19 tumors, 6 fractures). Results are generally entirely satisfactory in the mid term apart from fractures (recurrence of initial displacement). Specific complications are of a neurological nature (cases of cutaneous hyperesthesia, one severe motor deficit) long-term problems with device and material are uncommon; rupture of sub-laminar wire 8 cases; secondary incurving of frame 1 case.
哈茨希尔框架是一种用于脊柱节段性骨合成的方法。它通过椎板下金属丝固定在每个椎体水平。因此，这个框架可确保即时稳定性，无需术后使用束腹带。它能够矫正额状面畸形（脊柱侧弯），同时保留矢状面生理曲线（腰椎前凸——胸椎后凸）。它能确保固定脊柱后部不稳定情况（后部韧带和骨组织破坏、椎体滑脱等）。因此，哈茨希尔框架可被视为一种后路支具。它已应用于92例患者（53例腰椎疾病、10例脊柱侧弯、4例驼背、19例肿瘤、6例骨折）。除骨折（初始移位复发）外，中期结果总体上完全令人满意。特定并发症具有神经学性质（皮肤感觉过敏病例，1例严重运动功能障碍）；装置和材料的长期问题并不常见；椎板下金属丝断裂8例；框架继发性内弯1例。
