Swank S M, Brown J C, Perry R E
Spine (Phila Pa 1976). 1982 Sep-Oct;7(5):484-91. doi: 10.1097/00007632-198209000-00013.
Thirteen patients with Duchenne's muscular dystrophy underwent spinal fusion and Harrington instrumentation between 1967 and 1979. Curve progression was the most common indication for surgery. Cardiorespiratory evaluation was most important in the timing of surgery. After 12 months of immobilization, all spines fused. Major and minor complications occurred in eight of 13 patients. The major benefit of surgery was improved or maintained sitting balance. Surgery is not recommended for patients with symptomatic cardiomyopathy, vital capacity less than 40%, a nonfunctional cough, or rapidly progressive deterioration in muscle strength with a projected life span of less than two years.
1967年至1979年间，13例杜氏肌营养不良患者接受了脊柱融合术和哈林顿器械植入术。脊柱侧弯进展是最常见的手术指征。心肺功能评估在手术时机选择中最为重要。固定12个月后，所有脊柱均融合。13例患者中有8例出现了主要和次要并发症。手术的主要益处是改善或维持坐姿平衡。对于有症状性心肌病、肺活量低于40%、无效咳嗽或肌肉力量迅速进行性恶化且预计寿命不足两年的患者，不建议进行手术。
