Sturm P F, Dobson J C, Armstrong G W
Division of Orthopaedic Surgery, Ottawa Civic Hospital, Ontario, Canada.
Spine (Phila Pa 1976). 1993 May;18(6):685-91. doi: 10.1097/00007632-199305000-00002.
Thirty patients of a group of 39 patients with Scheuermann's kyphosis who underwent posterior spine fusion using large-diameter Harrington compression instrumentation were reviewed with a mean follow-up of 71.8 months. The mean curve before surgery was 71.5, and at follow-up, 37.7. The mean loss of correction at review was 6. This procedure was effective in adults with a fixed deformity as long as no anterior bony bridging existed. The authors believe that posterior Harrington instrumentation and spine fusion offer excellent correction of deformity at long-term follow-up without the added morbidity of a second procedure.
在一组39例施氏后凸畸形患者中,对30例行后路脊柱融合术并使用大直径哈林顿加压器械的患者进行了回顾性研究,平均随访71.8个月。术前平均 Cobb 角为71.5°,随访时为37.7°。复查时平均矫正丢失为6°。只要不存在前方骨桥接,该手术对有固定畸形的成人有效。作者认为,后路哈林顿器械固定和脊柱融合术在长期随访中能提供良好的畸形矫正效果,且无需二次手术带来额外的发病率。