Simmons E H
Clin Orthop Relat Res. 1977 Oct(128):65-77.
Patients who present with apparent kyphotic deformity of the spine associated with ankylosing spondylitis may have their main deformity in the hip joints, in the lumbar spine, the thoracic spine, or it may be primarily cervical in situation. If any major correction is to be carried out, then the correction should be done in the area of the main deformity. Deformity in each of these areas is amenable to surgical correction, but this requires a very careful assessment, meticulous preoperative planning, and very precise attention to operative technique to allow reasonably consistent success without major risk to the patient.
患有与强直性脊柱炎相关的明显脊柱后凸畸形的患者,其主要畸形可能存在于髋关节、腰椎、胸椎,或者主要位于颈椎。如果要进行任何重大矫正,那么应在主要畸形部位进行矫正。这些部位的每一处畸形都适合手术矫正,但这需要非常仔细的评估、精心的术前规划,以及对手术技术的高度精确关注,以在不给患者带来重大风险的情况下取得合理一致的成功。