The Surgical Treatment of Congenital Kyphosis: A Review of 94 Patients Age 5 Years or Older, with 2 Years or More Follow‐Up in 77 Patients
The Surgical Treatment of Congenital Kyphosis: A Review of 94 Patients Age 5 Years or Older, with 2 Years or More Follow‐Up in 77 Patients
复制标题
先天性脊柱后凸的手术治疗：对 94 名 5 岁或以上患者的回顾，并对 77 名患者进行了 2 年或以上的随访
DOI：
10.1097/00007632-198504000-00006
复制
发表时间：
1985
期刊：
影响因子：
3
通讯作者：
J. Lonstein
中科院分区：
文献类型：
--
作者：
R. Winter;J. Moe;J. Lonstein
本文回顾了94例先天性脊柱后凸畸形的手术治疗。其中77例随访2年以上，平均随访7年。术中平均年龄15岁，脊柱后凸平均75°。单纯后路融合者27例，前后路联合融合者48例。(另外两例仅行前路融合。)两组患者的平均脊柱后凸程度相同，但前后路手术组的矫正效果和矫正维持性均优于后路手术组。生长中的55°以下的儿童脊柱后凸多采用后路手术固定，而成人和55°以上的脊柱后凸患者需同时行前路和后路融合。在这篇综述中，头环-股动脉牵引导致了三例瘫痪中的两例。
Ninety-four patients with surgical treatment of congenital kyphosis have been reviewed. Of these, 77 had a follow-up of 2 years or more, with an average follow-up of 7 years. The average age at surgery was 15, and the average kyphosis was 75°. Twenty-seven had posterior fusion only, and 48 had combined anterior and posterior fusion. (Two others had anterior fusion only.) The average kyphosis in the two groups was the same, but the anterior and posterior group had a better correction and a better maintenance of correction than the posterior group alone. Kyphosis of less than 55° in growing children often was stabilized successfully by posterior surgery only, but adults and patients with kyphosis greater than 55° required both anterior and posterior fusion. Halo-femoral traction was responsible for two of the three paralyses in this review.