Johnston C E, Hakala M W, Rosenberger R
J Pediatr Orthop. 1982 Aug;2(3):233-41.
Nineteen patients with spinal discontinuity syndromes resulting in paralytic spinal deformity were treated with orthoses to postpone spinal stabilization to allow for vertebral growth. All patients had some degree of sensory deficit under the orthosis. The average period of orthotic treatment for all patients was 54 months (range, 22 to 98). The initial upright curve measurement prior to treatment averaged 43 degrees, the best correction obtained during treatment averaged 26 degrees, and all curves averaged 39 degrees when the brace was discontinued or at most recent follow-up. Although pressure sores occurred, no orthosis was abandoned due to a decubitus problem. Eight patients were successfully braced until maturity, at which time they underwent one stage spinal fusion. Five immature patients are still under active orthotic treatment. Poor compliance with brace wear was documented in the cases in which unacceptable progression occurred, requiring spinal fusion prior to maturity. Successful, technically simpler, one stage stabilization procedures were made possible by the successful long-term control of these difficult spinal deformities afforded by orthotic treatment.
19例因脊柱连续性综合征导致麻痹性脊柱畸形的患者接受了矫形器治疗，以推迟脊柱稳定手术，从而使椎体得以生长。所有患者在佩戴矫形器期间均有一定程度的感觉障碍。所有患者的平均矫形治疗时间为54个月（范围为22至98个月）。治疗前初始站立位侧弯角度平均为43度，治疗期间获得的最佳矫正平均为26度，当停止佩戴支具或最近一次随访时，所有侧弯平均为39度。尽管出现了压疮，但没有因褥疮问题而放弃任何矫形器。8例患者成功佩戴支具直至成年，届时他们接受了一期脊柱融合手术。5例未成熟患者仍在接受积极的矫形治疗。在出现不可接受的进展、需要在成年前进行脊柱融合的病例中，记录到支具佩戴依从性差。通过矫形治疗成功长期控制这些复杂的脊柱畸形，使得成功、技术上更简单的一期稳定手术成为可能。
