Segmental spinal instrumentation for correction of scoliosis.
Segmental spinal instrumentation for correction of scoliosis.
复制标题
用于矫正脊柱侧弯的分段脊柱器械。
DOI：
10.1097/00003086-198203000-00028
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发表时间：
1982
影响因子：
4.2
通讯作者：
E. Luque
中科院分区：
文献类型：
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作者：
E. Luque
连续 65 例脊柱侧凸患者（25 例患有特发性畸形，40 例患有脊髓灰质炎后畸形）接受了术前矫正、节段性脊柱内固定联合关节固定术以及术后不需固定的治疗。随访时间12～25个月（平均18个月）；没有患者失访。初始畸形范围为 35 度至 140 度（平均 69 度），最终矫正范围为 53% 至 93%（平均 72%）。平均矫正损失为 1.5 度，即 2%。该组的并发症是两次感染和两次假关节。作者认为，节段性脊柱内固定可以最大程度地有计划地矫正脊柱侧弯畸形，提供一种令人满意的无需外固定的脊柱刚性内固定方法，并实现快速有效的关节融合术。
Sixty-five consecutive scoliosis patients, 25 with idiopathic deformities and 40 with postpoliomyelitis deformities, were treated by preoperative correction, segmental spinal instrumentation with arthrodesis, and no postoperative immobilization. The follow-up ranged from 12 to 25 months (average, 18 months); no patients was lost to follow-up. The initial deformity varied from 35 degrees to 140 degrees (average, 69 degrees), and the final correction varied from 53% to 93% (average, 72%). The average loss of correction was 1.5 degrees, or 2%. The complications in this group were two infections and two pseudoarthroses. The author believes that segmental spinal instrumentation gives a planned maximum correction of scoliotic deformities, provides a satisfactory method of rigid internal fixation of the spine that needs no external fixation, and leads to rapid efficient arthrodesis.