Ruf Michael, Drumm Jörg, Jeszenszky Dezsö
Center for Spinal Surgery, Orthopedics, and Traumatology, SRH Klinikum Karlsbad-Langensteinbach, Karlsbad, Germany.
Spinal Surgery, Orthopedics and Neurosurgery, Schulthess Klinik, Zürich, Switzerland.
Ann Transl Med. 2020 Jan;8(2):31. doi: 10.21037/atm.2019.11.84.
Adolescent idiopathic scoliosis (AIS) is a complex three-dimensional deformity of the spine consisting of a lateral curvature, apical vertebral rotation, and an impairment of the sagittal profile. Surgical options include anterior and posterior approaches. Anterior instrumented fusion is suitable in Lenke type 1 and 5 curves. It supplies excellent results in coronal plane correction and is superior in the restoration of the sagittal profile and apical derotation. Fusion is shorter compared to posterior correction, and the complication rate is low. Pulmonary function is impaired postoperatively but recovers within a few years.
青少年特发性脊柱侧凸(AIS)是一种复杂的脊柱三维畸形,包括侧方弯曲、顶椎旋转和矢状面形态受损。手术选择包括前路和后路手术。前路器械融合适用于Lenke 1型和5型曲线。它在冠状面矫正方面提供了优异的效果,在矢状面形态恢复和顶椎去旋转方面更具优势。与后路矫正相比,融合节段更短,并发症发生率低。术后肺功能会受到损害,但在几年内会恢复。