Eysel P, Hopf C, Schwarz M, Voth D
Department of Orthopaedic Surgery, Mainz University Hospital, Fed. Rep. of Germany.
Neurosurg Rev. 1993;16(4):301-6. doi: 10.1007/BF00383841.
The natural history of scoliosis in the literature concerning the idiopathic and neuromuscular scoliosis in myelomeningocele patients (MMC) are compared to our own results in 12 patients with MMC and 89 patients operated because of an idiopathic scoliosis. According to known experiences the natural history of scoliosis in MMC is progression even after the end of growth. The chance of developing a scoliosis increases with the patients, age and the level of the lesion. The higher the level of paralysis the more common is a spinal deformity. In literature the progression rate of MMC scoliosis is 2.5-3.5 degrees per year, with the idiopathic pattern 0.5-0.65 degrees per year after end of growth. Our own results of surgically treated patients show a rate of progression of 6.2 degrees per year in MMC. The surgical treatment must start before a severe spinal deformity has developed because of the higher rate of operative complications.
将有关脊髓脊膜膨出症（MMC）患者特发性和神经肌肉性脊柱侧弯的文献中脊柱侧弯的自然史，与我们自己对12例MMC患者和89例因特发性脊柱侧弯接受手术的患者的研究结果进行了比较。根据已知经验，MMC患者脊柱侧弯的自然史即使在生长结束后仍会进展。患脊柱侧弯的几率随患者年龄和病变水平的增加而升高。瘫痪水平越高，脊柱畸形越常见。文献中MMC脊柱侧弯的进展速度为每年2.5 - 3.5度，生长结束后特发性脊柱侧弯模式为每年0.5 - 0.65度。我们自己对接受手术治疗患者的研究结果显示，MMC患者的进展速度为每年6.2度。由于手术并发症发生率较高，手术治疗必须在严重脊柱畸形形成之前开始。
