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休门氏后凸畸形病例中胸椎椎间盘导致的神经受压——一种罕见的组合情况。

Neurologic compression by thoracic disc in a case of scheuermann kyphosis - an infrequent combination.

作者信息

Riaz Salman, Lakdawalla Riaz Hussain

机构信息

Department of Neurological Surgery, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada.

出版信息

J Coll Physicians Surg Pak. 2005 Sep;15(9):573-5.

PMID:16181583
Abstract

Scheuermann disease is a rigid kyphosis due to vertebral wedging in the thoracic or lumbar spine. It is very rarely associated with neurologic compromise. Thoracic disc herniation leading to dural sac compression is also an infrequent pathology. We describe here a young man with Scheuermann disease who presented with symptoms and signs of neural compression. The cause of compression was a thoracolumbar disc, rendering him non-ambulant without support. He required transthoracic surgical decompression. The neurological status of the patient improved rapidly after surgery. At his latest follow-up he was independently ambulant with full restoration to activities of daily living.

摘要

休门氏病是一种由于胸椎或腰椎椎体楔形变导致的僵硬性脊柱后凸。它很少与神经功能损害相关。导致硬脊膜囊受压的胸椎间盘突出也是一种罕见的病理情况。我们在此描述一名患有休门氏病的年轻男性,他出现了神经受压的症状和体征。压迫的原因是一个胸腰椎间盘,导致他在无支撑的情况下无法行走。他需要经胸手术减压。患者术后神经状态迅速改善。在他最近的随访中,他能够独立行走,日常生活活动完全恢复。

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