Banniza von Bazan U K, Rompe G, Krastel A, Martin K
Z Orthop Ihre Grenzgeb. 1976 Dec;114(6):881-9.
The risk of neurologic complications following corrective surgery in congenital scoliosis is ten times greater than in idiopathic scoliosis, the main reasons being transfixation of the spinal cord by diastematomyelia or by other adhesions of the spinal cord. Therefore preoperative myelography is advisable in congenital scoliosis. The typical findings from 3 cases of diastematomyelia, as shown by myelography and by operation, are presented. The clinical and x-ray features are shown as well as neurological signs, which are easily overlooked.
先天性脊柱侧弯矫正手术后发生神经并发症的风险比特发性脊柱侧弯高十倍,主要原因是脊髓纵裂或其他脊髓粘连对脊髓的固定。因此,先天性脊柱侧弯术前进行脊髓造影是可取的。本文介绍了3例脊髓纵裂病例经脊髓造影和手术显示的典型表现。还展示了临床和X线特征以及容易被忽视的神经体征。