Winter R B, Anderson M B
Int Orthop. 1985;9(4):239-45. doi: 10.1007/BF00266510.
One hundred consecutive patients with spinal deformity due to various diagnoses were treated by posterior spinal arthrodesis with instrumentation and multiple sublaminar wires. Both the Harrington and Luque rodding systems were used. A total of 1128 wire loops were passed. No patient developed paraparesis or paraplegia, but three had transient sensory disturbance. There were no cases of broken rods or wires. Forty-five of the patients had no postoperative support. This worked well for neuromuscular scolioses, but for idiopathic scoliosis there was a disturbing loss of correction in many cases. Fusion to the sacrum was best accomplished with the "Galveston" technique, other methods having a high rate of pseudarthrosis. The main benefits appeared to be the ability to stabilize neuromuscular patients without the use of external immbolization, and the correction of thoracic lordosis.
100例因各种诊断导致脊柱畸形的连续患者接受了后路脊柱融合内固定术及多根椎板下钢丝固定。同时使用了哈灵顿（Harrington）和鲁克（Luque）棒系统。共穿过1128个钢丝环。无患者发生轻瘫或截瘫，但有3例出现短暂感觉障碍。无棒或钢丝断裂病例。45例患者术后未使用支具。这对神经肌肉型脊柱侧凸效果良好，但对特发性脊柱侧凸，很多病例出现令人不安的矫正丢失。采用“加尔维斯顿（Galveston）”技术能最好地实现与骶骨的融合，其他方法假关节发生率高。主要益处似乎是能够在不使用外部固定的情况下稳定神经肌肉型患者，并矫正胸段脊柱前凸。
