Gembun Y, Nakayama Y, Shirai Y, Miyamoto M, Sawaizumi T, Kitamura S
Department of Orthopaedic Surgery, Nippon Medical School, Tokyo, Japan.
J Nippon Med Sch. 2001 Apr;68(2):186-9. doi: 10.1272/jnms.68.186.
Spondyloepiphyseal dysplasia congenita (SED) is a rare form of skeletal systemic disease, characterized by congenital dwarfism with a short trunk and epiphysial dysplasia in the long bones and vertebral bodies. Patients also frequently suffer from atlanto-axial instability due to os odontoideum. Compression of the spinal cord caused by atlanto-axial instability is a common, serious complication in SED patients, and causes severe spinal cord symptoms or occasionally sudden death. We present an SED patient who underwent a posterior fusion of the occiput to the cervical spine for severe spinal cord symptoms due to atlanto-axial instability.
先天性脊柱骨骺发育不良(SED)是一种罕见的骨骼系统性疾病,其特征为先天性侏儒症,伴有躯干短小以及长骨和椎体的骨骺发育异常。由于齿突发育异常,患者还常患有寰枢椎不稳。寰枢椎不稳导致的脊髓受压是SED患者常见且严重的并发症,可引起严重的脊髓症状,甚至偶尔导致猝死。我们报告一例因寰枢椎不稳出现严重脊髓症状而接受枕颈后路融合术的SED患者。