Lonstein J E, Winter R B, Moe J H, Bradford D S, Chou S N, Pinto W C
Spine (Phila Pa 1976). 1980 Jul-Aug;5(4):331-55. doi: 10.1097/00007632-198007000-00007.
Forty-three cases of neurologic complications of untreated spinal deformities are reviewed. Kyphosis, averaging 95 degrees, was present in all but one patient. The most common deformity was a congenital kyphosis, present in 17 patients. The complication was more common in males, in the presence of thoracic deformities, and in the second decade. Treatment consisted of anterior spinal cord decompression in 25 patients, laminectomy in ten, Capener decompression in six, correction and fusion in five, and Hyndman-Schneider decompression in three. Laminectomy gave the worst results; six of ten patients who received this treatment showed deterioration. Anterior cord decompression gave the best results, with 16 of 25 showing improvement. A treatment plan for this complication is proposed. A plea for prevention is made, as it is far preferable to avoid this dreaded complication by early fusion of kyphotic problems.
回顾了43例未经治疗的脊柱畸形神经并发症病例。除1例患者外，其余患者均存在平均95度的后凸畸形。最常见的畸形是先天性后凸畸形，有17例患者存在。该并发症在男性、存在胸椎畸形以及第二个十年更为常见。治疗方法包括25例患者进行前路脊髓减压、10例患者进行椎板切除术、6例患者进行卡彭纳减压、5例患者进行矫正和融合以及3例患者进行辛德曼 - 施耐德减压。椎板切除术效果最差；接受该治疗的10例患者中有6例病情恶化。前路脊髓减压效果最佳，25例中有16例病情改善。提出了针对该并发症的治疗方案。呼吁进行预防，因为通过早期融合后凸问题来避免这种可怕的并发症远比治疗要好得多。
