医学
假关节
脊柱融合术
脊柱侧凸
外科
特发性脊柱侧凸
作者
Jean Dubousset,John A. Herring,Harry Shufflebarger
出处
期刊:Journal of Pediatric Orthopaedics
[Ovid Technologies (Wolters Kluwer)]
日期:1989-09-01
卷期号:9 (5): 541-550
被引量:349
标识
DOI:10.1097/01241398-198909010-00008
摘要
We reviewed 40 spinal fusions done prior to Risser stage I for idiopathic and paralytic scoliosis to evaluate postoperative curve progression. The 39 patients who had posterior fusion alone had progressive angulation and rotation of the spine over the postoperative follow-up period. The more immature the patient, the greater the resultant progression. This progression is an inevitable consequence of continued anterior spinal growth in the presence of a posterior fusion, and occurs without pseudarthrosis or hardware failure. Younger patients may require anterior and posterior fusion to achieve stable correction.
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