Hopf C, Schwarz M, Wackerhagen A, Voth D
Orthopaedic Department, University Mainz, Fed. Rep. of Germany.
Neurosurg Rev. 1993;16(1):45-52. doi: 10.1007/BF00308613.
The results of the operative treatment of scoliosis in 12 patients with MMC and in two patients with associated severe kyphosis are presented. In scoliosis only multi-segmental methods combined with ventral procedures allow a postoperative care without brace or cast. The angle before and after operation with the CDI or CDI/VDS procedures averaged 80.3 degrees and 38.2 degrees respectively (mean corrections of 41.5 degrees and 51.6%). The results show that patients with scoliosis with MMC had a approximately 30% greater preoperative angle than patients with idiopathic scoliosis. An early operation (in progressive curves with more than 30 degrees) may reduce the number and severity of complications.
本文介绍了12例脊髓脊膜膨出患者及2例伴有严重脊柱后凸患者的脊柱侧弯手术治疗结果。对于脊柱侧弯，只有多节段方法联合前路手术才能在术后无需支具或石膏固定。采用CDI或CDI/VDS手术前后的角度平均分别为80.3度和38.2度（平均矫正41.5度，矫正率51.6%）。结果显示，脊髓脊膜膨出合并脊柱侧弯的患者术前角度比特发性脊柱侧弯患者大30%左右。早期手术（用于角度超过30度的进展性侧弯）可能会减少并发症的数量和严重程度。
