ONE-STAGE ANTERIOR AND POSTERIOR HEMIVERTEBRAL RESECTION AND ARTHRODESIS FOR CONGENITAL SCOLIOSIS
ONE-STAGE ANTERIOR AND POSTERIOR HEMIVERTEBRAL RESECTION AND ARTHRODESIS FOR CONGENITAL SCOLIOSIS
复制标题
DOI：
10.2106/00004623-199072040-00010
复制
发表时间：
1990-04-01
影响因子：
5.3
通讯作者：
BOACHIEADJEI, O
中科院分区：
文献类型：
--
作者：
BRADFORD, DS;BOACHIEADJEI, O
7名儿童因单一、完全分段的腰椎半椎体而患有先天性脊柱侧凸，采用一期前后椎体切除术和关节融合术进行治疗。脊柱侧凸术前平均47度，术后14度，平均随访45.6个月后15度（约70%矫正）。4名患者术前有胸腰椎后凸，在最近的随访检查中保持不变。手术后，石膏被戴上12到16周，之后使用支具。无神经功能缺损、感染、死亡或假关节。联合手术耐受性良好，在有限的随访期内，先天性脊柱侧凸没有进展。
Seven children who had congenital scoliosis due to a single, fully segmented lumbar hemivertebra were treated with single-stage anterior and posterior vertebral resection and arthrodesis. The scoliosis averaged 47 degrees preoperatively, 14 degrees postoperatively, and 15 degrees (approximately 70 per cent correction) after an average follow-up of 45.6 months. Four patients had thoracolumbar kyphosis preoperatively, and it remained unchanged at the most recent follow-up examination. Postoperatively, a cast was worn for twelve to sixteen weeks, after which a brace was applied. There were no neurological deficits, infections, deaths, or pseudarthroses. The combined procedure was well tolerated and, in the limited period of follow-up, the congenital scoliosis did not progress.