Feldman M D, Bridwell K H, Sheridan J J
Division of Orthopedic Surgery, Washington University School of Medicine, St. Louis, MO 63110.
J Spinal Disord. 1993 Feb;6(1):76-82.
Scoliosis causing neurologic deficit is rare. Nonoperative treatment has been shown to be unsuccessful in reversing the condition or preventing further neurologic progression. Surgical intervention using the Hyndman-Schneider approach (costotransversectomy and apical pedicle resection) decompresses the spinal cord by transposing it into the concavity of the deformity. Although it is a demanding procedure with significant risks, lateral spinal cord transposition is the preferable procedure to provide full neurologic recovery in successful cases.
导致神经功能缺损的脊柱侧凸很少见。已证明非手术治疗在逆转病情或预防神经功能进一步进展方面并不成功。采用海因德曼-施耐德方法（肋骨横突切除术和顶椎椎弓根切除术）的手术干预通过将脊髓转移到畸形凹侧来减压脊髓。尽管这是一个要求高且风险大的手术，但在成功的病例中，脊髓侧方移位是实现神经功能完全恢复的首选手术。
