Hardy J R, Pouliquen J C, Penneçot G F
Rev Chir Orthop Reparatrice Appar Mot. 1985;71(3):153-66.
The authors have analysed 19 cases of cervical spine fusion in children and teenagers with a review of the literature. In the present series, the levels fused were between the occiput, C1 and C2. The ages of the patients ranged between 2 months and 18 years. There was a great variety of indications for these operations, the majority being congenital deformities or Morquio's disease. The main disabilities were neurological impairment, or instability or deformity of the neck. Recent advances in radiological investigation made it possible to make a more precise diagnosis of lesions with bony deformities, fibrous bands or instability. In 9 instances, a fusion alone was made and in 10 it was associated with cord decompression. The results were analysed in relation to the clinical features, the post-operative mobility of the neck and the incorporation of the graft.
作者分析了19例儿童和青少年颈椎融合病例，并对相关文献进行了综述。在本系列中，融合的节段在枕骨、C1和C2之间。患者年龄在2个月至18岁之间。这些手术的适应证多种多样，大多数是先天性畸形或莫尔基奥氏病。主要残疾是神经功能障碍、颈部不稳定或畸形。放射学检查的最新进展使对伴有骨畸形、纤维带或不稳定的病变做出更精确的诊断成为可能。9例仅进行了融合，10例同时进行了脊髓减压。根据临床特征、术后颈部活动度和移植物融合情况对结果进行了分析。
