Fraser R D, Paterson D C, Simpson D A
J Bone Joint Surg Br. 1977 May;59(2):143-51. doi: 10.1302/0301-620X.59B2.873974.
A retrospective survey has been made of forty children with spinal tumours. Difficulties in establishing the correct diagnosis are mentioned and the value of radiological and cerebrospinal fluid investigations discussed. The major orthopaedic disabilities are spinal deformity or instability, and paraplegia. The main factor in the development of the former is the site of laminectomy: the higher the level the greater is the likelihood of deformity or instability developing. Measures to prevent this distressing complication are discussed. The role of the orthopaedic surgeon in the management of these children is emphasised.
对40名患有脊柱肿瘤的儿童进行了回顾性调查。文中提到了确立正确诊断的困难,并讨论了放射学和脑脊液检查的价值。主要的骨科残疾是脊柱畸形或不稳定以及截瘫。前者发展的主要因素是椎板切除术的部位:水平越高,发生畸形或不稳定的可能性就越大。文中讨论了预防这种令人痛苦的并发症的措施。强调了骨科医生在这些儿童治疗中的作用。