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[脊柱侧弯手术中的阿姆斯特朗手术。临床、生物力学及三维研究]

[The Armstrong procedure in scoliosis surgery. Clinical, biomechanical and tridimensional study].

作者信息

Romaña C, Michel C R, Dimnet J, Bérard J, Caton J

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1985;71(2):111-8.

PMID:4011969
Abstract

The Armstrong procedure combines the use of a conventional Harrington rod in the concavity of a curve, together with a distracting force on the convex side, this force being applied one vertebra lower. Workers have used this procedure in 35 cases. It is concluded that there are three advantages: A better horizontal disposition of the lower vertebra. Greatly diminished stress on the two rods shown by a biomechanical study. Derotation is more easily obtained and the spine is better balanced as a whole, as shown by a three-dimensional study comparing this method and conventional Harrington rodding.

摘要

阿姆斯特朗手术是在脊柱弯曲的凹侧使用传统的哈灵顿棒,同时在凸侧施加撑开力,该力作用于下一个椎体。研究人员已将此手术应用于35例病例。得出的结论是,该手术有三个优点:下椎体的水平排列更佳。生物力学研究表明,两根棒上的应力大大降低。三维研究比较了该方法与传统哈灵顿棒固定术,结果表明,更容易实现去旋转,脊柱整体平衡更好。

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