Kim H W, Weinstein S L
University of Iowa Hospitals and Clinics, Iowa City 52242-1088, USA.
J Bone Joint Surg Br. 1998 Jan;80(1):25-9. doi: 10.1302/0301-620x.80b1.8136.
We describe two patients with an atypical congenital kyphosis in which a hypoplastic lumbar vertebral body lay in the spinal canal because of short pedicles. There were no defects in the posterior elements, or any apparent instability of the facet joints. Both patients were treated successfully by anterior fusion to the levels immediately above and below the affected vertebra, and posterior fusion which extended one level more both proximally and distally. This gave progressive correction of the kyphotic deformity by allowing some continued anterior growth at the levels which had been fused posteriorly.
我们描述了两名患有非典型先天性脊柱后凸的患者，由于椎弓根短小，发育不全的腰椎椎体位于椎管内。后部结构无缺陷，小关节也无明显不稳定。两名患者均通过前路融合至受累椎体上方和下方的节段，并进行后路融合，后路融合在近端和远端均多延伸一个节段，从而成功得到治疗。通过允许在后方融合节段持续进行一些前方生长，实现了脊柱后凸畸形的逐步矫正。
