Callahan B C, Georgopoulos G, Eilert R E
Children's Hospital, Denver, Colorado, USA.
J Pediatr Orthop. 1997 Jan-Feb;17(1):96-9.
We retrospectively reviewed the cases of 10 consecutive patients treated with hemivertebral excision for congenital scoliosis at The Children's Hospital, Denver, CO, between 1982 and 1992. Follow-up consisted of physical and radiographic examination and averaged 54 months (range, 4-111). Age at surgery ranged from 9 months to 10 years, 5 months (average, 3 years, 11 months). Hemivertebra levels were between T12 and L3. The average preoperative curve measured 40 degrees (range, 20-55 degrees); the average at latest follow-up was 16 degrees (range, 3-37 degrees). We found hemivertebral excision for congenital scoliosis to be a safe and effective means of treatment. Curve correction averaged 67% and seemed to be greatest in those less than 4 years of age at the time of surgery.
我们回顾性研究了1982年至1992年间在科罗拉多州丹佛市儿童医院接受半椎体切除术治疗先天性脊柱侧凸的10例连续患者的病例。随访包括体格检查和影像学检查，平均随访时间为54个月（范围4 - 111个月）。手术年龄从9个月至10岁5个月，平均为3岁11个月。半椎体水平在T12至L3之间。术前平均侧弯角度为40度（范围20 - 55度）；最新随访时平均角度为16度（范围3 - 37度）。我们发现，半椎体切除术治疗先天性脊柱侧凸是一种安全有效的治疗方法。侧弯矫正平均为67%，在手术时年龄小于4岁的患者中似乎矫正效果最佳。
