Lowe T G, Peters J D
Woodridge Orthopaedic Clinic, Colorado.
Spine (Phila Pa 1976). 1993 Mar 15;18(4):423-6.
The authors have reviewed the records of 36 patients with idiopathic scoliosis who underwent a single-stage anterior spinal fusion with Zielke instrumentation to determine if any adverse frontal or secondary sagittal deformities or changes in balance resulted from the surgery. Spontaneous correction of uninstrumented thoracic curves was noted in five patients with double-major curves, and frontal balance was maintained or improved after operation in all but four patients. Kyphosis was increased in the instrumented segments in all patients. In the uninstrumented segments, however, thoracic kyphosis and lumbar lordosis were decreased in all but five patients after operation, whereas overall sagittal balance was not adversely affected by the surgery in any patient.
作者回顾了36例特发性脊柱侧凸患者的记录，这些患者接受了Zielke器械单阶段前路脊柱融合术，以确定手术是否导致任何不良的额状面或继发性矢状面畸形或平衡改变。在5例双主弯患者中，未融合的胸弯出现自发矫正，除4例患者外，所有患者术后额状面平衡得以维持或改善。所有患者的融合节段后凸增加。然而，在未融合节段，除5例患者外，所有患者术后胸段后凸和腰段前凸均减小，而手术对任何患者的整体矢状面平衡均未产生不利影响。
