Guille J T, Bowen J R
Alfred I. duPont Institute, Wilmington, Delaware, USA.
Spine (Phila Pa 1976). 1995 Jan 15;20(2):248-51. doi: 10.1097/00007632-199501150-00024.
This report is an account of three patients with scoliosis and polyostotic fibrous dysplasia involving the spine. The perioperative course of two patients who underwent posterior spinal arthrodesis is described.
The objective of the study was to show that extensive fibrous dysplasia of the spine and scoliosis can be treated by standard methods of posterior spinal arthrodesis with good results.
Scoliosis developed in three patients, and two patients underwent spinal arthrodesis. No report that discusses the results of this type of operation in this patient population exists in the literature.
Three patients with polyostotic fibrous dysplasia involving the spine and scoliosis were located at our institution. Two of the patients underwent posterior spinal arthodesis in situ; their perioperative courses are described. The course of the nonoperatively treated patient is noted briefly.
A stable posterior spinal arthrodesis was achieved in both patients with no major complications. At the time of the last follow-up visit, both patients had radiographic evidence of a solid fusion mass with no signs of pseudarthrosis or graft resorption. Both patients currently are doing well.
Scoliosis and its treatment has been unreported in patients with this condition, and this report demonstrates that satisfactory results can be obtained with attention to detail.
本报告描述了3例患有脊柱侧弯和累及脊柱的多骨型纤维发育不良的患者。介绍了2例行后路脊柱融合术患者的围手术期过程。
本研究的目的是表明，脊柱广泛纤维发育不良和脊柱侧弯可通过后路脊柱融合术的标准方法进行治疗，并取得良好效果。
3例患者出现脊柱侧弯，2例患者接受了脊柱融合术。文献中尚无讨论此类手术在该患者群体中结果的报告。
在我们机构找到了3例患有累及脊柱的多骨型纤维发育不良和脊柱侧弯的患者。其中2例患者在原位进行了后路脊柱融合术；描述了他们的围手术期过程。简要记录了未接受手术治疗患者的病程。
2例患者均实现了稳定的后路脊柱融合，无重大并发症。在最后一次随访时，2例患者的影像学检查均显示有坚实的融合块，无假关节或植骨吸收迹象。2例患者目前情况良好。
这种情况下患者的脊柱侧弯及其治疗方法此前未见报道，本报告表明，注重细节可获得满意的结果。
