Parsch K, Dippe K
Helv Paediatr Acta. 1978 Aug;33(3):195-203.
Children with thoracic lesions should have hip surgery done only if this is necessary for the child to be able to walk with braces. In lumbar lesions hip surgery and especially SHARRARD'S procedure of iliopsoas transfer is done to establish muscular balance. The amount of braces for walking can thus be reduced. In sacral lesions there is no place for hip surgery, as functional gain would not be expected.
患有胸椎病变的儿童，只有在为了能借助支具行走而确有必要时才进行髋关节手术。对于腰椎病变，进行髋关节手术，尤其是沙拉德的髂腰肌转移手术，以建立肌肉平衡。这样就能减少行走所需的支具数量。对于骶椎病变，髋关节手术并无必要，因为预计不会有功能改善。
