Gilsanz V, Boechat I M, Birnberg F A, King J D
AJR Am J Roentgenol. 1983 Sep;141(3):457-60. doi: 10.2214/ajr.141.3.457.
Progressive scoliosis was seen in eight children after thoracotomy for esophageal atresia. Postoperatively, all had had severe mediastinitis and empyema secondary to dehiscence of the esophageal anastomosis and required reoperation. Healing was accompanied by marked scarring and rib fusion; with growth, a scoliosis developed with the concavity toward the thoracotomy site. Most spinal curvatures appeared years after the thoracotomy and progressed rapidly at the time of adolescent growth spurt. Excision of fused ribs, spinal fusion, and instrumentation led to improvement in four patients.
8名接受食管闭锁开胸手术的儿童出现了进行性脊柱侧凸。术后，所有患儿均因食管吻合口裂开继发严重纵隔炎和脓胸，需要再次手术。愈合过程伴有明显瘢痕形成和肋骨融合；随着生长发育，脊柱侧凸逐渐形成，凹侧朝向开胸手术部位。大多数脊柱侧弯在开胸手术后数年出现，并在青春期生长突增时迅速进展。4例患者通过切除融合肋骨、脊柱融合和器械固定后病情有所改善。
