Farley F A, Song K M, Birch J G, Browne R
Section of Orthopaedic Surgery, University of Michigan Medical School, Ann Arbor, USA.
J Pediatr Orthop. 1995 Mar-Apr;15(2):187-92.
We reviewed 28 patients < 18 years of age with scoliosis and syringomyelia. Children with scoliosis and syringomyelia had an equal incidence of left- and right-sided curves with a normal sagittal alignment. Most were first seen at Risser 0 with significant curves, and curve progression occurred in half of the patients. Bracing was not effective in preventing curve progression. Neurologic signs, present in most children, stabilized after syrinx drainage. Neither the sex or age of the child, nor the type of curve, nor the drainage of the syrinx was predictive of curve progression.
我们回顾了28例年龄小于18岁的脊柱侧弯合并脊髓空洞症患者。脊柱侧弯合并脊髓空洞症的儿童左右侧弯发生率相等，矢状面排列正常。大多数患者初次就诊时Risser征为0度，伴有明显侧弯，半数患者出现侧弯进展。支具在预防侧弯进展方面无效。大多数儿童存在的神经体征在脊髓空洞引流后稳定。儿童的性别、年龄、侧弯类型以及脊髓空洞引流情况均不能预测侧弯进展。
