【摘要】 目的　比较先天性脊柱侧凸两种矫治方法术后远期疗效。方法　对1985 年9 月～1998 年9 月本院采用单纯Harrington 撑开棒或撑开棒与加压棒同时并用及植骨融合术治疗的52 例先天性脊柱侧凸进行了总结分析。结果　其中31 例获术后3 .6 ～12 年随访观察, 以凹侧单纯Harrington 撑开棒加植骨融合者19 例, 其矫正率为29.6 % , 侧凸矫正丢失度年平均为3.8°。用凹侧撑开棒与凸侧加压棒植骨融合者12 例, 其矫正率为30 .2 % , 侧凸矫正丢失度年平均为1.8°, 术后两类无一例瘫痪。结论　先天性脊柱侧凸应早期进行手术, 应用凹侧Harrington 撑开棒与凸侧加压棒并植骨融合术, 其效果较为满意更多还原

【Abstract】 Objective To evaluate the long term results of congenital scoliosis after two sorts of surgical correction. Methods From Sept. 1985. to Sept. 1998, 52 cases of congenital scoliosis treated with Harrington distraction system or Harrington rod plus compression system and bony graft spinal fusion were reviewed. Results The follow up results of 31 cases with a period of 3.6 12yrs showed that the corrective rate of 19 cases treated with Harrington rod plus spinal fusion was 29.6% with a correction loss degree of 3.8° , and the corrective rate of 12 cases underwent distraction system on concave side and compression system on convex side was 30.2% with an average correction loss degree only of 1.8° . No paralysis complication was found in these two groups. Conclusions In order to get satisfactory outcome, an early surgical treatment for congenital scoliosis by Harrington distraction system and compression system plus spinal fusion is recommened.更多还原