Mollano Anthony V, Weinstein Stuart L, Menezes Arnold H
Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, Iowa 52242, USA.
Iowa Orthop J. 2005;25:57-9.
We present the case of a 5-year-old boy presenting with a 54-degree scoliosis secondary to a Chiari I malformation with a holocord syringomyelia extending from C1 to T10. Neurosurgical treatment involved posterior fossa craniectomy with decompression, and partial C1 laminectomy. At follow-up 7 years later, at age 12, radiographs revealed only a 4-degree scoliosis, and follow-up MRI revealed a deflated syrinx. We report this case to reveal the most significant scoliosis regression seen in our experience that may occur in younger patients after neurosurgical syringomyelia decompression for Chiari I hindbrain herniation.
我们报告了一名5岁男孩的病例，该男孩因Chiari I型畸形继发54度脊柱侧凸，伴有从C1至T10的全脊髓空洞症。神经外科治疗包括后颅窝颅骨切除术减压和部分C1椎板切除术。7年后随访，患者12岁，X线片显示脊柱侧凸仅为4度，随访MRI显示空洞缩小。我们报告此病例是为了揭示在我们的经验中观察到的最显著的脊柱侧凸消退情况，这种情况可能发生在因Chiari I型后脑疝进行神经外科脊髓空洞症减压的年轻患者中。
