Leatherman K D, Dickson R A
J Bone Joint Surg Br. 1979 Aug;61-B(3):324-8. doi: 10.1302/0301-620X.61B3.479255.
Sixty patients with congenital deformities of the spine were operated upon in the past fifteen years using a two-stage procedure. In the fifty patients with scoliosis half of the deformities were due to hemivertebrae and half to unilateral bars. The average correction of the deformity was 47 per cent. Early neurological signs observed in two patients with a diastematomyelia resolved. Of the ten patients with kyphosis nine had neurological signs of impending paraplegia and one was completely paraplegic before operation; all improved markedly. Posterior spinal fusion alone in the rapidly progressing congenital deformity may not prevent further progression, particularly in those cases iwth unilateral bars. Anterior resection of the vertebral body with later posterior fusion with Harrington instrumentation is safe and effective.
在过去的十五年里，对60例先天性脊柱畸形患者采用两阶段手术进行了治疗。在50例脊柱侧凸患者中，一半的畸形是由于半椎体，另一半是由于单侧骨桥。畸形的平均矫正率为47%。在2例脊髓纵裂患者中观察到的早期神经症状得到缓解。在10例后凸畸形患者中，9例有即将发生截瘫的神经症状，1例在手术前完全截瘫；所有患者均有明显改善。对于快速进展的先天性畸形，单纯后路脊柱融合术可能无法阻止进一步进展，尤其是在那些有单侧骨桥的病例中。前路椎体切除并随后用哈灵顿器械进行后路融合是安全有效的。
