Kaneda K, Satoh S, Fujiya N
Nihon Seikeigeka Gakkai Zasshi. 1985 Aug;59(8):841-51.
Thirty-nine patients (idiopathic in 26, paralytic in 11 and congenital in 2) treated by Zielke instrumentation with fusion for thoracolumbar and lumbar curvature were reviewed. The average follow-up was 34 months. The corrections of scoliosis was 76% in the adolescent idiopathic group, 59% in the adult idiopathic group and 55% in the paralytic group; rotation corrected (38%). Kyphosis was reduced from 61 degrees to 20 degrees on the average by derotating the spine using the derotator followed by placing bone graft in the anterior disc spaces. The tilt angle of the lower end vertebra in the idiopathic group and the pelvic obliquity angle in the paralytic group were corrected remarkably. Fusion rate was 92.3%. Two of three pseudarthrosis were repaired by Harrington instrumentation and fusion. One was free from symptoms. Complications were frequent, though in most cases only minor.
对39例采用 Zielke 器械融合术治疗胸腰椎和腰椎侧弯的患者进行了回顾性研究，其中特发性侧弯26例，麻痹性侧弯11例，先天性侧弯2例。平均随访时间为34个月。青少年特发性侧弯组的脊柱侧弯矫正率为76%，成人特发性侧弯组为59%，麻痹性侧弯组为55%；旋转矫正率为38%。通过使用去旋转器使脊柱去旋转，然后在前椎间盘间隙植入骨 graft，后凸畸形平均从61度降至20度。特发性侧弯组下端椎的倾斜角和麻痹性侧弯组的骨盆倾斜角得到明显矫正。融合率为92.3%。三例假关节中有两例通过 Harrington 器械融合术修复。一例无症状。并发症很常见，不过大多数情况下只是轻微的。
