Götze H G
Z Orthop Ihre Grenzgeb. 1978;116(2):258-66.
Patients, suffering from congenital scoliosis, offer multiple problems for the prognostic judgement and consequent therapy. The diagnosis has to include the patterns of malformation, the lack of balance and accompanying malformations of other organs. This requires an interdisciplinary cure. Physical therapy or redressing plaster-shells do not guarantee a sufficient treatment. In most cases the Milwaukee-brace will not stop the progredience, but just an early operative intervention. Indications and techniques of stabilizing or correcting operative procedure from dorsal or ventral are described.
患有先天性脊柱侧凸的患者在预后判断及后续治疗方面存在诸多问题。诊断必须涵盖畸形模式、平衡缺失以及其他器官的伴随畸形。这需要多学科治疗。物理治疗或矫正石膏壳并不能保证充分治疗。在大多数情况下,密尔沃基支具无法阻止病情进展,而早期手术干预才行。文中描述了从背部或腹部进行稳定或矫正手术操作的适应症及技术。