SELECTION OF FUSION LEVELS IN IDIOPATHIC ADOLESCENT SCOLIOSIS TREATED BY HARRINGTON-DDT INSTRUMENTATION - A SHORT-TERM RADIOLOGIC STUDY

被引：2

作者：

ANDERSEN, GR ^{[1
]}

ANDERSEN, MO ^{[1
]}

CHRISTENSEN, SB ^{[1
]}

机构：

[1] UNIV COPENHAGEN,DEPT ORTHOPAED,COPENHAGEN,DENMARK

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 1995年 / 4卷 / 01期

关键词：

FUSION LEVELS; SCOLIOSIS; SCOLIOSIS CLASSIFICATION; SCOLIOSIS SURGERY; SPINAL FUSION METHODS;

D O I：

10.1097/01202412-199504010-00014

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Clinical records and radiographs of 106 patients treated by Harrington-dorsal transverse traction (DDT) instrumentation for idiopathic adolescent thoracolumbar scoliosis were reviewed. Our strategy was to fuse from one vertebra above the measured curve to two vertebrae below the curve, but to avoid fusions below the third lumbar vertebra. With this strategy, the lower level of fusion rarely coincided with the stable vertebra. In King type 2 and type 3 scolioses, the best results were obtained when the rower fusion level coincided with the stable vertebra. In King type 4 and in most King type 5 scolioses, the lower lever of fusion was two or three vertebrae short of the stable vertebra; nevertheless, we obtained good corrections. We conclude that in King type 4 and type 5 scolioses extensive lumbar fusion can be avoided.

引用

页码：86 / 90

页数：5

共 13 条

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