Duhaime M, Labelle P, Lebel M, Simoneau R, Poitras B, Rivard C H, Marton D
Chir Pediatr. 1982 Jan-Feb;23(1):17-22.
The purpose of this study was to evaluate the first seven hundred and fifty cases of scoliosis treated surgically by the harrington technique at Ste-Justine Hospital for Children in Montreal since 1964, in regards to modifications of original technique. Five surgeons were involved in the treatment. The mean presurgical angulation was 57.9 degrees; the mean post-surgical angulation was 20 degrees representing an immediate gain of 37.9 degrees. Average loss of correction three years after surgery was 13.3 degrees. Hibbs and Moe type of posterior spine fusion with fresh autogenous iliac bone appears to be the best procedure for maintenance of initial correction, together with early ambulation in a well-molded Risser-Cotrel type of plaster jacket. Prognosis as related to percentage of retained correction is better in girls than boys and also when fused after the age of thirteen years. More correction was obtained and maintained in curves between 30 degrees and 50 degrees. Rate of neurological complications was 0.4%. There was no mortality. There were 3% rod fractures, 5% pseudarthrosis proven at surgery and 5% acute or subacute infections.
本研究旨在评估自1964年以来在蒙特利尔圣贾斯汀儿童医院采用哈灵顿技术手术治疗的首批750例脊柱侧弯病例，涉及原始技术的改进情况。有五位外科医生参与了治疗。术前平均角度为57.9度；术后平均角度为20度，即时矫正角度为37.9度。术后三年平均矫正丢失为13.3度。希布斯和莫氏后路脊柱融合术采用新鲜自体髂骨，似乎是维持初始矫正效果的最佳手术方法，同时结合早期在塑形良好的里塞尔 - 科特雷尔型石膏背心内行走。与保留矫正百分比相关的预后，女孩比男孩好，且在13岁以后融合者预后更好。在30度至50度之间的弯曲中获得并维持了更多的矫正。神经并发症发生率为0.4%。无死亡病例。有3%的棒体骨折，5%在手术中证实为假关节，5%为急性或亚急性感染。
