| 摘要 |
Objectives: To determine the safety and outcome in the treatment of Sprengel’s
deformity by the standard Woodward procedure without clavicular osteotomy.
Methods: This nine year retrospective study from 1998 to 2006 closely followed 9
patients, six boys and three girls, aged 3-6years (mean, 4.7±1.1 years), with
Sprengel’s deformity. The ages of patients at the time of diagnosis ranged from 0
(immediately after birth) to 5 years. Associated congenital diseases included Klippel-
Feil syndrome (6 cases), congenital scoliosis (3 cases) and congenital heart disease (1
case). All patients underwent the standard Woodward surgical procedure. No
clavicular osteotomy or other modified methods were performed during the
operations. Changes in the shoulder abduction degrees and the appearance classified
by the Cavendish grading system were recorded before and after the operations.
Results: In this study using the Wilcoxon signed rank test, the results indicated
significant improvements in the abduction degrees of the shoulder (before vs. after:
82.22±7.12 vs. 160.56±11.84, p=0.006) and the Cavendish grades (before vs. after:
3.56±0.53 vs. 1.33±0.5, p=0.007). No surgical complications were noted during the 4.5
year-follow-up period (mean: 8 years; ranging from 3 to 10 years).
Conclusions: As a result of this clinical study, we conclude that the Woodward
procedure is a safe and effective procedure in the treatment of Sprengel’s deformity.
Besides, for patients younger than six years of age, we consider that it is not
necessary to combine the clavicular osteotomy with the Woodward procedure. |
