Pous J G, Dimeglio A, Adrey J, Jarrousse Y
Rev Chir Orthop Reparatrice Appar Mot. 1983;69(5):393-406.
Sixty-three paralytic scolioses with severe disability have been treated between 1973 and 1982. Fifty-two were due to poliomyelitis. The average angular deformity was 95.8 degrees and was related to delay in treatment and rapid progress of the curve. All cases were operated on. Spine fusion was performed either by the anterior approach (Dwyer or V.D.S.) or by a posterior approach (Harrington or Harrington - Luque). The pre-operative management was based on Cotrel or Halo traction. There were several complications - three non-unions, three neurological impairments, and nine cases of sepsis. It was concluded that the pre-operative management should be as short as possible, that the spine fusions should be done systematically and that any paralytic scoliosis increasing by more than 10 degrees a year between the ages of 8 and 10 years should be operated on early. This type of treatment should lower the incidence of severe disability and allow good functional and educational rehabilitation. The degree of diminished growth of the spine was moderate.
1973年至1982年间，对63例重度残疾的麻痹性脊柱侧凸患者进行了治疗。其中52例由小儿麻痹症引起。平均角畸形为95.8度，这与治疗延迟和侧弯的快速进展有关。所有病例均接受了手术。脊柱融合术通过前路（Dwyer或V.D.S.）或后路（哈林顿或哈林顿-卢克）进行。术前处理基于科特雷尔或头环牵引。出现了一些并发症——3例骨不连、3例神经损伤和9例败血症。得出的结论是，术前处理应尽可能缩短，应系统地进行脊柱融合，并且任何在8至10岁之间每年进展超过10度的麻痹性脊柱侧凸都应尽早手术。这种治疗方式应降低重度残疾的发生率，并实现良好的功能和教育康复。脊柱生长减少的程度为中度。
