CORONAL DECOMPENSATION PRODUCED BY COTREL-DUBOUSSET DEROTATION MANEUVER FOR IDIOPATHIC RIGHT THORACIC SCOLIOSIS

被引：115

作者：

BRIDWELL, KH

MCALLISTER, JW

BETZ, RR

HUSS, G

CLANCY, M

SCHOENECKER, PL

机构：

[1] Division of Orthopedic Surgery, Barnes Hospital, Washington University School of Medicine, St. Louis, MO

[2] Shriners Hospital for Crippled Children, Philadelphia Unit, Philadelphia, PA

来源：

SPINE | 1991年 / 16卷 / 07期

关键词：

Cotrel-Doubousset; Decompensation; Derotation maneuver; Stable vertebra;

D O I：

10.1097/00007632-199107000-00015

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

From 1985 to 1987, 82 patients with idiopathic scoliosis followed 12 to 44 months underwent selective fusion and correction of their right thoracic curves by Cotrel-Dubousset instrumentation using the "derotation" maneuver. Preoperative, postoperative, and follow-up standing anteroposterior roentgenograms of the spine were analyzed. For curves in which there was deviation from the midline (plumb line) and rotation of the lumbar segments, an increased incidence of decompensation was produced after surgery, when posterior Cotrel-Dubousset instrumentation and fusion were carried to the "stable" vertebra with one rod bend and hook alignment on the left sided derotation rod. Previous guidelines established for selective fusion with conventional posterior instrumentation (Harrington or Luque rods) may not be applicable to derotation with Cotrel-Dubousset instrumentation.

引用

页码：769 / 777

页数：9

共 12 条

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