Mubarak S J, Morin W D, Leach J
Department of Orthopedics, Children's Hospital, San Diego, California.
J Pediatr Orthop. 1993 Nov-Dec;13(6):752-7. doi: 10.1097/01241398-199311000-00012.
Twenty-two wheelchair-bound patients with Duchenne muscular dystrophy (DMD) underwent Luque segmental instrumentation and fusion. Twelve patients were instrumented to the sacropelvis, and 10 were instrumented to L5. Mean preoperative and postoperative curves were nearly identical in both groups. The mild degree of trunk shift and pelvic obliquity was similar between the two groups. The recommendation for operation in such patients should be made when their curve is > 20 degrees and if their forced vital capacity is > 40%. If treatment is initiated early, Luque instrumentation and fusion from high thoracic (T2 or T3) to the fifth lumbar vertebra should be sufficient.
22例杜氏肌营养不良症（DMD）的轮椅依赖患者接受了Luque节段性器械固定及融合术。12例患者固定至骶骨盆，10例固定至L5。两组患者术前和术后的平均曲线几乎相同。两组间躯干移位和骨盆倾斜的轻度程度相似。对于此类患者，当侧弯角度>20度且用力肺活量>40%时，应建议进行手术。如果早期开始治疗，从高胸段（T2或T3）至第五腰椎的Luque器械固定及融合术就足够了。
