SURGICAL-TREATMENT OF SCOLIOSIS IN A SPINAL MUSCULAR-ATROPHY POPULATION

被引：42

作者：

PHILLIPS, DP

ROYE, DP

FARCY, JPC

LEET, A

SHELTON, YA

机构：

[1] Columbia-Presbyterian Medical Center, New York, NY

[2] Columbia University College of Physicians and Surgeons, New York, NY

[3] Alfred I. duPont Institute, Wilmington, DE

来源：

SPINE | 1990年 / 15卷 / 09期

关键词：

Paralytic scoliosis; Spinal muscular atrophy;

D O I：

10.1097/00007632-199009000-00019

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Seventy-eight patients were diagnosed with spinal mus-cular atrophy between 1969 and 1988. Scoliosis developed in 34 of these patients, an incidence of 60%. Thirty- one patients could be retrospectively reviewed by chart review or interview. The average follow-up was 11.5 years. Onset of scoliosis averaged 8.8 years. Twenty-two patients were treated nonsurgically and nine surgically. Patients had improved sitting balance and endurance after surgery. Complications of surgery included loss of correction in one patient, one pseudarthrosis, and one patient who required prolonged ventilatory support. The prolonged survival of patients with spinal muscular atrophy justifies aggressive orthopaedic management of scoliosis to prevent progression of deformity and improve sitting comfort. © Lippincott-Raven Publishers.

引用

页码：942 / 945

页数：4

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