Neal Kevin M, Siegall Evan
From the Department of Orthopaedic Surgery, Nemours Children's Specialty Care, Jacksonville, FL.
J Am Acad Orthop Surg. 2017 Apr;25(4):e70-e78. doi: 10.5435/JAAOS-D-16-00282.
Management of large, severe, stiff spinal deformities in children can be challenging. Adjunctive treatments used in conjunction with spinal osteotomy, instrumentation, and fusion can improve the ultimate degree of deformity correction. These adjunctive treatments include preoperative halo-gravity traction, intraoperative halo-femoral traction, temporary internal spinal distraction, and anterior spinal release. Each of these techniques has unique indications and individual risks. When the appropriate protocols are followed, these techniques can be safe and efficacious.
儿童严重僵硬型脊柱大畸形的治疗颇具挑战性。与脊柱截骨术、内固定及融合术联合使用的辅助治疗可提高最终的畸形矫正程度。这些辅助治疗包括术前头环重力牵引、术中头环股骨牵引、临时脊柱内撑开以及前路脊柱松解。每种技术都有其独特的适应证和个体风险。若遵循适当的方案，这些技术可安全有效。
