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FIGURE 44.131
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A, Vertebral growth on horizontal plane, four segments: AL, Anterior left; AR, anterior right; PL, posterior left; and PR, posterior right. B, Congenital posterior bar involving PL and PR; level of epiphysiodesis must be AL and AR. C, Anterior defect involving AL and AR; epiphysiodesis must involve PL and PR. D, Anterior excess of growth potential involving both AR and AL; epiphysiodesis must involve both AR and AL above and below. E, Congenital posterolateral bar involving PL only; epiphysiodesis must involve only AR. F, Excess (hemivertebra) growth involving only AR and part of PR; hemiepiphysiodesis must involve AR and PR.

出典

img 1:  Modified from Dubousset J, Katti E, Seringe R: Epiphysiodesis of spine in young children for congenital spinal deformation, J Pediatr Orthop B 1:23, 1992.