LONG SCOLIOSIS FUSION TO THE SACRUM IN ADULTS WITH NONPARALYTIC SCOLIOSIS - AN IMPROVED METHOD
LONG SCOLIOSIS FUSION TO THE SACRUM IN ADULTS WITH NONPARALYTIC SCOLIOSIS - AN IMPROVED METHOD
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DOI：
10.1097/00007632-199007000-00007
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发表时间：
1990-07-01
期刊：
影响因子：
3
通讯作者：
LONSTEIN, JE
中科院分区：
文献类型：
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作者：
SAER, EH;WINTER, RB;LONSTEIN, JE
回顾了采用Luque-Galveston技术治疗的前17例非麻痹性脊柱侧凸患者，这些患者与骶骨长融合。有3名男性和14名女性。手术时的平均年龄为47岁，平均随访期为42个月。无神经系统并发症，无患者发生腰椎前凸明显丢失。88%的患者发生融合。2例患者出现假关节，均未在假关节节段进行前路融合。最好的结果发生在两阶段手术的患者中，最初的前路腰椎融合到骶骨，不使用内固定，然后使用加尔维斯顿技术固定到骨盆的后路节段内固定。
The first 17 adults with nonparalytic scoliosis having long fusion to the sacrum treated with the Luque-Galveston technique were reviewed. There were 3 men and 14 women. Their average age at the time of surgery was 47 years and the mean follow-up period was 42 months. There were no neurologic complications and no patient developed significant loss of lumbar lordosis. Fusion occurred in 88% of patients. Two patients developed pseudarthrosis, neither of whom had anterior fusion at the level of pseudarthrosis. The best results occurred in patients who had two-stage procedures, with initial anterior lumbar fusion to the sacrum without instrumentation followed by posterior segmental instrumentation with the Galveston technique of fixation to the pelvis.