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哈灵顿棒的遗产与脊柱手术中长节段固定结构的演变

The Legacy of Harrington's Rod and the Evolution of Long-Segment Constructs in Spine Surgery.

作者信息

Amadi Iheanyi J, Kabangu Jean-Luc K, Bhargav Adip G, Camarata Paul J

机构信息

School of Medicine, University of Kansas, Kansas City, KS 66160, USA.

Department of Neurological Surgery, University of Kansas Medical Center, Kansas City, KS 66160, USA.

出版信息

J Clin Med. 2024 Sep 19;13(18):5556. doi: 10.3390/jcm13185556.

DOI:10.3390/jcm13185556
PMID:39337041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11432481/
Abstract

This paper delves into the historical evolution of spinal surgery, focusing on the pivotal role of the Harrington rod in treating spinal deformities. Introduced in 1955, the Harrington rod marked a significant breakthrough in neurosurgery, especially for scoliosis treatment, by offering a novel approach to spinal stabilization. Through a retrospective analysis, this study examines the development and impact of the Harrington rod, highlighting Dr. Paul Harrington's contributions to spinal surgery. His innovative technique revolutionized the management of spinal deformities, laying the groundwork for future advancements in spinal instrumentation. Despite initial skepticism, Harrington's methods gained acceptance, significantly influencing neurosurgical practices and patient outcomes. This study also explores subsequent advancements that built on Harrington's work, including the transition to long-segment spine constructs and the introduction of segmental pedicle screws, which allowed for more precise deformity correction. Reflecting on Harrington's legacy, this paper acknowledges the continuous evolution of spinal surgery, driven by the interplay between clinical challenges and technological innovations. Harrington's pioneering spirit exemplifies the ongoing pursuit of better surgical outcomes, underscoring the importance of innovation in the field of neurosurgery.

摘要

本文深入探讨了脊柱外科的历史演变，重点关注哈灵顿棒在治疗脊柱畸形方面的关键作用。哈灵顿棒于1955年问世，它通过提供一种全新的脊柱稳定方法，在神经外科领域，尤其是在脊柱侧弯治疗方面取得了重大突破。通过回顾性分析，本研究考察了哈灵顿棒的发展及其影响，突出了保罗·哈灵顿博士对脊柱外科的贡献。他的创新技术彻底改变了脊柱畸形的治疗方式，为脊柱内固定技术的未来发展奠定了基础。尽管最初遭到质疑，但哈灵顿的方法还是获得了认可，对神经外科手术实践和患者预后产生了重大影响。本研究还探讨了在哈灵顿的工作基础上取得的后续进展，包括向长节段脊柱结构的转变以及节段性椎弓根螺钉的引入，这些进展使得脊柱畸形矫正更加精确。通过回顾哈灵顿的遗产，本文认识到脊柱外科在临床挑战与技术创新的相互作用推动下不断发展。哈灵顿的开拓精神体现了对更好手术效果的持续追求，凸显了创新在神经外科领域的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/47f4a5825ab7/jcm-13-05556-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/92abac41ec8c/jcm-13-05556-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/45996b9023c6/jcm-13-05556-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/f81c3dfbd149/jcm-13-05556-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/3ba80136f82f/jcm-13-05556-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/aff61bbc2383/jcm-13-05556-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/c56dd27dfbbc/jcm-13-05556-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/47f4a5825ab7/jcm-13-05556-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/92abac41ec8c/jcm-13-05556-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/45996b9023c6/jcm-13-05556-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/f81c3dfbd149/jcm-13-05556-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/3ba80136f82f/jcm-13-05556-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/aff61bbc2383/jcm-13-05556-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/c56dd27dfbbc/jcm-13-05556-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/11432481/47f4a5825ab7/jcm-13-05556-g007.jpg

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J Orthop Translat. 2021 Dec 6;31:73-79. doi: 10.1016/j.jot.2021.11.001. eCollection 2021 Nov.
2
Evolution of casting techniques in early-onset and congenital scoliosis.早发性和先天性脊柱侧凸的支具治疗技术的演变
J Clin Orthop Trauma. 2020 Sep-Oct;11(5):810-815. doi: 10.1016/j.jcot.2020.06.034. Epub 2020 Jul 8.
3
History of Spinal Fusion: Where We Came from and Where We Are Going.脊柱融合术的历史：我们的起源与发展方向
HSS J. 2020 Jul;16(2):137-142. doi: 10.1007/s11420-020-09747-7. Epub 2020 Feb 25.
4
Dogged Persistence-Harrington, Post-polio Scoliosis, and the Origin of Spine Instrumentation.顽强的坚持——哈灵顿、小儿麻痹后遗症脊柱侧弯与脊柱内固定器械的起源
Spine Deform. 2016 Mar;4(2):162-163. doi: 10.1016/j.jspd.2015.12.007.
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Spinal fusion surgery: A historical perspective.脊柱融合手术：历史视角
J Orthop. 2016 Nov 9;14(1):134-136. doi: 10.1016/j.jor.2016.10.029. eCollection 2017 Mar.
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Spines of Steel: A Case of Surgical Enthusiasm in Cold War America.钢铁脊梁：冷战时期美国的一例外科热忱事件
Bull Hist Med. 2016;90(2):222-49. doi: 10.1353/bhm.2016.0047.
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Dr. Russell A. Hibbs: Pioneer of Spinal Fusion.拉塞尔·A·希布斯博士：脊柱融合术的先驱。
Spine (Phila Pa 1976). 2015 Aug 15;40(16):1311-3. doi: 10.1097/BRS.0000000000001001.
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A brief overview of 100 years of history of surgical treatment for adolescent idiopathic scoliosis.青少年特发性脊柱侧凸外科治疗百年历史简述
J Child Orthop. 2013 Feb;7(1):57-62. doi: 10.1007/s11832-012-0466-3. Epub 2012 Dec 5.
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