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德克萨斯州苏格兰 rite 器械在特发性脊柱侧凸中的应用。初步报告。

The use of Texas Scottish-Rite instrumentation in idiopathic scoliosis. A preliminary report.

作者信息

Bischoff R, Bennett J T, Stuecker R, Davis J M, Whitecloud T S

机构信息

Tulane University School of Medicine, New Orleans, Louisiana.

出版信息

Spine (Phila Pa 1976). 1993 Dec;18(16):2452-6. doi: 10.1097/00007632-199312000-00014.

DOI:10.1097/00007632-199312000-00014
PMID:8303448
Abstract

The Texas Scottish-Rite instrumentation (TSRH) is a new system for the correction of spinal deformities that uses smooth rods and hooks stabilized to the rod with a three-point interference fit. This obviates the need for the break-off hex bolts and should make for easier removal and/or revision. Twenty-three patients with TSRH instrumentation were followed for an average of 18 months after surgery. The major scoliotic curve was corrected an average of 49% with the compensatory curve averaging 37% correction. Loss of thoracic kyphosis was less than 9 degrees although it increased on average 8 degrees in those patients where kyphosis was improved. There were no acute complications, but late complications included four cases of hook pull-out. Results are comparable to those found with the CD instrumentation. The TSRH instrumentation is an attractive alternative in scoliosis surgery, particularly because of the relative ease in which revision surgery may be performed.

摘要

德克萨斯州苏格兰 rite 器械(TSRH)是一种用于矫正脊柱畸形的新系统,它使用光滑的棒和通过三点过盈配合固定在棒上的钩。这消除了对折断式六角螺栓的需求,并且应该使移除和/或翻修更容易。23 例使用 TSRH 器械的患者术后平均随访 18 个月。主侧弯平均矫正 49%,代偿性侧弯平均矫正 37%。胸椎后凸丢失小于 9 度,尽管在那些后凸改善的患者中平均增加了 8 度。没有急性并发症,但晚期并发症包括 4 例钩拔出。结果与使用 CD 器械的结果相当。TSRH 器械在脊柱侧弯手术中是一种有吸引力的选择,特别是因为翻修手术相对容易进行。

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