Gaines R W, Leatherman K D
Spine (Phila Pa 1976). 1981 Sep-Oct;6(5):483-8. doi: 10.1097/00007632-198109000-00010.
Adolescent and adult scoliosis exhibits deformity present in all three planes of orientation, but the principal correcting effect of the Harrington distraction system is in the frontal plan. Sagittal and horizontal deformity was addressed by adding the compression system. Twenty patients were treated with combined apparatus. The mean preoperative frontal curve was 52 degrees, and the mean postoperative curve was 16 degrees. The average preoperative tilt angel was 31 degrees, and the average postoperative angle was 8 degrees. Thoracolumbar kyphosis was reduced, and lumbar lordosis was maintained. The combined apparatus addresses the triplanar curvature more effectively than the single distraction system.
青少年和成人脊柱侧弯在所有三个定向平面均存在畸形，但哈林顿撑开系统的主要矫正作用在矢状面。通过增加加压系统来解决矢状面和水平面的畸形问题。20例患者接受了联合器械治疗。术前平均矢状面弯曲度为52度，术后平均弯曲度为16度。术前平均倾斜角度为31度，术后平均角度为8度。胸腰段后凸减少，腰椎前凸得以维持。联合器械比单一撑开系统能更有效地解决三平面弯曲问题。
