SPINAL-FUSION IN DUCHENNE MUSCULAR-DYSTROPHY - FIXATION AND FUSION TO THE SACROPELVIS

被引：66

作者：

MUBARAK, SJ ^{[1
]}

MORIN, WD ^{[1
]}

LEACH, J ^{[1
]}

机构：

[1] CHILDRENS HOSP,DEPT ORTHOPED,SAN DIEGO,CA

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1993年 / 13卷 / 06期

关键词：

DUCHENNES MUSCULAR DYSTROPHY; PELVIC OBLIQUITY; SCOLIOSIS; SPINE INSTRUMENTATION;

D O I：

10.1097/01241398-199311000-00012

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：

Twenty-two wheelchair-bound patients with Duchenne muscular dystrophy (DMD) underwent Luque segmental instrumentation and fusion. Twelve patients were instrumented to the sacropelvis, and 10 were instrumented to L5. Mean preoperative and postoperative curves were nearly identical in both groups. The mild degree of trunk shift and pelvic obliquity was similar between the two groups. The recommendation for operation in such patients should be made when their curve is >20-degrees and if their forced vital capacity is >40%. If treatment is initiated early, Luque instrumentation and fusion from high thoracic (T2 or T3) to the fifth lumbar vertebra should be sufficient.

引用

页码：752 / 757

页数：6

共 19 条

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