Sibilla P, Viganò P, Percudani W
Chir Ital. 1979 Feb;31(1):119-30.
This paper describes the various technics of orthopedic surgery currently used to correct scoliosis and maintain correction. Among corrective methods they illustrate the use of the Cotrel plaster corset (E.D.F.) preceded by passive bipolar traction and autoelongation. Once correction is achieved, it must be maintained to the end skeletal growth; this is done with various types of orthopedic corsets (Lyonnais, La Padula, Milwaukee), which are used according to the patient's age and anatomical type of deformity. The authors discuss in particular the forces that are applied to the occiput and mandible with the Milwaukee corset (Logan, Cochran and Waugh), the values being recorded in diverse situations including the upright stance, ambulation, sitting position, position, supine position, and sleep (Galante, 1970). The authors also made a comparative study of the conventional Milwaukee corset (with broad chin bearing) versus the Milwaukee with hyoid bearing; and finally they illustrate the results obtained by Andriacchi and his associates in selecting the Milwaukee corset for patients with idiopathic scoliosis on the basis of the mathematical model of the rachis.
本文介绍了目前用于矫正脊柱侧弯并维持矫正效果的各种骨科手术技术。在矫正方法中，他们阐述了在使用科特雷尔石膏紧身胸衣（法国电力公司）之前先进行被动双极牵引和自体延长。一旦实现矫正，必须维持到骨骼生长结束；这通过各种类型的矫形紧身胸衣（里昂式、拉帕杜拉式、密尔沃基式）来完成，这些紧身胸衣根据患者年龄和畸形的解剖类型使用。作者特别讨论了密尔沃基紧身胸衣（洛根、 Cochr an和沃）施加于枕骨和下颌骨的力，这些力在包括直立姿势、行走、坐姿、站位、仰卧位和睡眠等不同情况下进行记录（加兰特，1970年）。作者还对传统的密尔沃基紧身胸衣（宽下巴支撑）与带舌骨支撑的密尔沃基紧身胸衣进行了比较研究；最后，他们阐述了安德里亚奇及其同事根据脊柱数学模型为特发性脊柱侧弯患者选择密尔沃基紧身胸衣所取得的结果。
