Böhm H, Hehne H J, Zielke K
Zentrum für Wirbelsäulenchirurgie, Werner-Wicker-Klinik, Bad Wildungen.
Orthopade. 1989 Apr;18(2):142-54.
The derangement of posture in advanced flexion deformity due to ankylosing spondylitis, as well as operative correction procedures are analysed. The "Dorsal Lordosating Spondylodesis", DLS, according to Zielke is introduced. This method of polysegmental correction and transpedicular fixation via USIS implants allows the recreation of a balanced upright posture by restoration of smooth lumbar lordosis. We present results of 173 patients corrected by DLS. Since the total amount of correction is split into 5-7 osteotomy sites, complication rates are substantially lower than in the monosegmental methods. Besides the gain of body height and immediate pain relief, the restoration of a horizontal axis of vision could be achieved. The latter, for all patients the most important feature, was maintained as up to 5 years follow-up's show.
分析了强直性脊柱炎导致的晚期屈曲畸形中的姿势紊乱以及手术矫正程序。介绍了根据齐尔克（Zielke）的“背侧腰椎前凸脊柱融合术”（DLS）。这种通过USIS植入物进行多节段矫正和经椎弓根固定的方法，能够通过恢复平滑的腰椎前凸来重建平衡的直立姿势。我们展示了173例接受DLS矫正患者的结果。由于总矫正量分散在5至7个截骨部位，并发症发生率显著低于单节段方法。除了身高增加和疼痛立即缓解外，还能够实现视轴水平的恢复。正如长达5年的随访所示，视轴水平的恢复对所有患者来说是最重要的特征，并且得以维持。
