Sakai D N, Hsu J D, Bonnett C A, Brown J C
Clin Orthop Relat Res. 1977 Oct(128):256-60.
Of 41 patients with Duchenne muscular dystrophy, no ambulatory patient had scoliosis greater than 19 degrees. Non-ambulatory patients were prophylactically placed in body jackets, which kept the spine flexible and provided adequate support for sitting in the majority of patients. Ten patients had posterior spine fusion for progressive spinal collapse. The procedure was extensive with significant blood loss but boney fusion was achieved in every case. Pulmonary complications were minimized by performing preoperative tracheostomy on all patients who had vital capacities less than 40% and or non-functional coughs. Spinal fusion permitted long-term sitting stability despite the progression of the disease.
在41例杜氏肌营养不良患者中，能够行走的患者脊柱侧弯均不超过19度。不能行走的患者预防性地穿上了身体夹克，这能保持脊柱的灵活性，并为大多数患者提供足够的坐姿支撑。10例患者因脊柱进行性塌陷接受了后路脊柱融合术。该手术范围广泛，失血量大，但每例均实现了骨融合。对所有肺活量小于40%和/或咳嗽功能丧失的患者进行术前气管切开术，将肺部并发症降至最低。尽管疾病进展，但脊柱融合术使患者能够长期保持坐姿稳定。
