Otani K, Satomi K, Fujimura Y, Manzoku S, Shibasaki K
Int Orthop. 1979;3(3):229-35. doi: 10.1007/BF00265717.
Twenty-seven patients with severe tuberculous kyphosis have been treated at the National Murayama Hospital between 1966 and 1977. We have undertaken curettage of the foci and vertebral osteotomy through an anterior approach, followed by gradual correction with a halo pelvic distraction apparatus and subsequent vertebral fusion. Choice of this method depends upon the age of the patient, the degree of kyphosis before correction, and the presence of concomitant lesions. Details of postoperative management are given and their importance is emphasized. The major risks of correction are discussed and precautions suggested.
1966年至1977年间，国立村山医院对27例重度结核性脊柱后凸患者进行了治疗。我们采用前路病灶刮除和椎体截骨术，随后使用头环骨盆牵引装置进行逐步矫正，继而进行椎体融合。该方法的选择取决于患者的年龄、矫正前脊柱后凸的程度以及是否存在合并病变。文中给出了术后管理的细节并强调了其重要性。讨论了矫正的主要风险并提出了预防措施。
