Rajasekaran S, Shanmugasundaram T K
J Bone Joint Surg Am. 1987 Apr;69(4):503-9.
The cases of ninety patients who had tuberculous lesions in the thoracic and thoracolumbar spine were studied. A comparison of the angles of the gibbus deformity at onset and six years later showed statistically significant differences between the patients who underwent treatment by radical surgery and those who underwent treatment by one of two non-surgical regimens. Analysis of the amount of the initial loss of vertebral body and of the final angle of the gibbus deformity at six years showed a correlation coefficient of 0.83. Using the formula y = a + bx, the final angle of the gibbus deformity was predictable with 90 per cent accuracy in the patients who were not treated surgically. The ability to predict the final angle of the gibbus deformity allows the surgeon to select the patients who will require radical resection and bone-grafting to prevent a severe kyphosis.
对90例胸段和胸腰段脊柱结核病变患者的病例进行了研究。对发病时和6年后驼背畸形角度的比较显示，接受根治性手术治疗的患者与接受两种非手术治疗方案之一的患者之间存在统计学上的显著差异。对椎体初始丢失量和6年后驼背畸形最终角度的分析显示，相关系数为0.83。使用公式y = a + bx，在未接受手术治疗的患者中，驼背畸形的最终角度预测准确率为90%。预测驼背畸形最终角度的能力使外科医生能够选择那些需要进行根治性切除和植骨以预防严重后凸畸形的患者。
