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为了提高手术治疗小儿先天性脊柱侧凸的矫正率，减少术后畸形复发和曲轴现象的发生，采用脊柱前后入路手术治疗小儿先天性脊柱侧凸１５例。平均手术年龄９岁，Ｃｏｂｂ角平均８０°，平均随访４年。与同期２５例因先天性脊柱侧凸行单纯脊柱后路矫形术患儿进行术后平均矫正率、矫正丢失度／年、有无曲轴现象等临床指标比较。结果显示脊柱前后入路组治疗效果明显优于单纯脊柱后路组。对患有严重脊柱侧凸、弧度僵硬或并发后凸的患儿，宜行脊柱前后入路手术，对已行单纯脊柱后路矫形的患儿，应定期随访，如手术失败或畸形复发，有必要再次行脊柱前后入路矫形融合术。
In order to improve the surgical correction of congenital scoliosis in children and reduce the recurrence of postoperative deformity and crankshaft phenomenon, the use of anterior and posterior approach to the treatment of pediatric congenital scoliosis in 15 cases. The average age of surgery was 9 years old, with an average Cobb angle of 80 ° and an average follow-up of 4 years. In the same period, 25 cases of congenital scoliosis with posterior spine posterior simple orthopedic correction of postoperative average correction rate, loss of correction / year, with or without crankshaft clinical indicators such as comparison. The results show that the treatment of anterior and posterior spinal approach group was significantly better than the simple posterior spinal group. For patients with severe scoliosis, radian stiffness or kyphosis, anterior or posterior spine surgery is recommended. Patients with a posterior spine posterior correction should be followed up on a regular basis such as surgical failure or deformity, Necessary to re-enter the anterior and posterior spinal surgery orthopedic fusion.