Moskowitz A, Moe J H, Winter R B, Binner H
J Bone Joint Surg Am. 1980 Apr;62(3):364-76.
One hundred and ten scoliotic patients underwent correction and spine fusion by one of us (J. H. M.) at Gillette Children's Hospital between 1947 and 1957. Sixty-one of these patients were evaluated in 1977 for this follow-up study. The evaluation consisted of physical and roentgenographic examination, photographs, and a detailed psychosocial analysis. The aims of the study were to evaluate: (1) the long-term stability of the fusion; (2) the incidence and severity of low-back pain; and (3) the degree of integration of the patient into society. The results showed that a solid fusion had no significant loss of correction with time. Eighty-four per cent of the patients lost only zero to 5 degrees of correction during an average follow-up of twenty-six years. Low-back pain was found to be no more frequent than in the normal population in this age group, and there was less low-back pain than in a comparable series of scoliotic patients without fusion. There was no correlation between the occurrence of low-back pain and the length or magnitude of the fused curve or the lowest extent of the fusion. An unexpected finding was the high incidence of neck pain, the cause of which is unknown. Psychosocial analysis revealed that the patients were productive, active, stable persons who were working and contributing members of society.
1947年至1957年间，我们中的一人（J.H.M.）在吉列儿童医院为110名脊柱侧弯患者进行了矫正和脊柱融合手术。1977年，对其中61名患者进行了此次随访研究评估。评估内容包括体格检查、X线检查、拍照以及详细的社会心理分析。该研究的目的是评估：（1）融合的长期稳定性；（2）下腰痛的发生率和严重程度；（3）患者融入社会的程度。结果显示，坚固的融合随着时间推移没有明显的矫正丢失。在平均26年的随访中，84%的患者矫正丢失仅0至5度。发现下腰痛的发生率并不高于该年龄组的正常人群，并且与未进行融合的脊柱侧弯患者系列相比，下腰痛的发生率更低。下腰痛的发生与融合曲线的长度或大小以及融合的最低范围之间没有相关性。一个意外发现是颈部疼痛的高发生率，其原因尚不清楚。社会心理分析表明，这些患者是有生产力、积极、稳定的人，他们在工作并为社会做出贡献。
