Bosch B, Heimkes B, Stotz S
Orthopädische Universitäts-Poliklinik Innenstadt, LMU München.
Z Orthop Ihre Grenzgeb. 1994 Sep-Oct;132(5):363-70. doi: 10.1055/s-2008-1039838.
75 patients (33 male, 42 female) with congenital scoliosis, diagnosed first time between birth and 40 years were examined. Type and site of the anomaly were classified and evaluated in accordance with a standardized scheme. The prognosis of congenital scoliosis depends strongly on the type of the anomaly. The differences of progression in the site of the abnormality are therefore minor. Unilateral unsegmented bars showed the most severe progression: the yearly rate of deterioration of the curve averages 7.6 degrees. Unilateral hemivertebrae showed 1.5 degrees (upper thoracic region) and 2.3 degrees (lower thoracic region). Two contralateral hemivertebraes and block vertebraes had a yearly rate of deterioration less than 1 degree. Operation is the treatment of choice in case of unilateral unsegmented bars. A conservative treatment is sufficient in most cases of other abnormalities.
对75例先天性脊柱侧弯患者（33例男性，42例女性）进行了检查，这些患者在出生至40岁之间首次被诊断。根据标准化方案对异常类型和部位进行分类和评估。先天性脊柱侧弯的预后很大程度上取决于异常类型。因此，异常部位进展的差异较小。单侧不分节骨桥进展最为严重：曲线每年平均恶化7.6度。单侧半椎体在胸上段显示每年恶化1.5度，在胸下段显示2.3度。两个对侧半椎体和块状椎体每年恶化率小于1度。对于单侧不分节骨桥，手术是首选治疗方法。在大多数其他异常情况下，保守治疗就足够了。
