Lindseth R E, Stelzer L
J Bone Joint Surg Am. 1979 Jul;61(5):699-704.
For twenty-three children with myelomeningocele, three types of operations, all including vertebral-body excision, were done to decrease and stabilize the kyphosis: (1) excision of the apical vertebra and a portion of the neighboring vertebra was done in five patients; (2) excision of the apical vertebra and of one or more vertebrae on each side of it, in eight patients; and (3) partial resection of the apical vertebra and of the proximal lordotic curve, in twelve patients. Loss of correction and increase of the kyphotic prominence equal to or greater than preoperative levels were encountered after the first two operations. The third operation provided persistent correction and the remaining lumbar vertebrae then continued to grow, increasing the capacity of the abdominal cavity.
对23例患有脊髓脊膜膨出的儿童进行了三种手术，所有手术均包括椎体切除，以减轻和稳定后凸畸形：（1）5例患者切除了顶椎及部分相邻椎体；（2）8例患者切除了顶椎及其两侧的一个或多个椎体；（3）12例患者对顶椎和近端前凸曲线进行了部分切除。在前两种手术后，出现了矫正丢失和后凸畸形突出增加至等于或大于术前水平的情况。第三种手术提供了持续的矫正，随后剩余的腰椎继续生长，增加了腹腔容量。
