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[哈林顿手术联合鲁克环扎节段性横向稳定术治疗脊柱侧凸(哈林顿-鲁克手术)。首批31例个人病例的早期结果]

[Harrington's operative treatment of scoliosis in combination with segmental transverse stabilization with Luque cerclage (the Harrington-Luque operation). Early results of the first 31 personal cases].

作者信息

Griss P, Jani L

出版信息

Z Orthop Ihre Grenzgeb. 1985 Sep-Oct;123(5):847-51. doi: 10.1055/s-2008-1044766.

Abstract

Early postoperative results in 31 cases of scolioses of varying etiology using the new combination of Harrington's distraction system together with Luque's segmental wiring are presented. Starting from an average preoperative COBB angle of 70 degrees (40 degrees-120 degrees), postoperative average correction to 35 degrees (15 degrees-80 degrees) could be achieved. This represents an average correction of 49.7% (28%-73%). One deep wound infection (cleared by removal of the material) and one transient monoradicular nerve irritation complicated the follow-up in total. The superior stability of the Harrington-Luque-combination (detailed description of the operative procedure) allows the reduction of the postoperative time of external splinting to only 6 months. The Technique described can be estimated as a considerable improvement of the classical Harrington-operation and has already replaced it in our department.

摘要

本文介绍了31例病因各异的脊柱侧弯患者采用哈灵顿撑开系统与鲁克节段性钢丝固定新组合的早期术后结果。术前平均COBB角为70度(40度 - 120度),术后平均矫正至35度(15度 - 80度)。这意味着平均矫正率为49.7%(28% - 73%)。随访期间共出现1例深部伤口感染(通过取出材料清除)和1例短暂性单根神经刺激。哈灵顿 - 鲁克组合的卓越稳定性(手术操作的详细描述)使术后外部支具固定时间缩短至仅6个月。所描述的技术可被视为对经典哈灵顿手术的显著改进,并且在我们科室已经取代了它。

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