Yuzawa Yohei, Hashimoto Takao, Takahashi Jun, Nakamura Isao, Hirabayashi Hiroki, Ebara Sohei
Department of Orthopaedic Surgery Aizawa Hospital, Matsumoto, Japan.
Spine (Phila Pa 1976). 2006 Sep 15;31(20):E767-9. doi: 10.1097/01.brs.0000240208.77875.34.
A case report.
To report the first myotonic dystrophy case in which cervical kyphosis had been surgically corrected.
Myotonic dystrophy is an autosomal dominant disease that shows myotonia, progressive muscle atrophy, and other various symptoms. Instability of the neck is expected to cause disorders of the cervical spine; however, there are no detailed reports on deformity of cervical spine associated with this disease.
A 43-year-old man with cervical kyphosis due to myotonic dystrophy had undergone an occiput-T2 fusion with autogenous iliac bone using spinal instrumentation.
The activity of daily life of the patient had improved markedly, and the good results continued to be preserved for 5 years. There were not any major perioperative complications.
Surgical correction of cervical spine is not necessarily a contraindication for myotonic dystrophy.
病例报告。
报告首例经手术矫正颈椎后凸的强直性肌营养不良病例。
强直性肌营养不良是一种常染色体显性疾病，表现为肌强直、进行性肌肉萎缩及其他各种症状。预计颈部不稳定会导致颈椎疾病；然而，尚无关于该疾病相关颈椎畸形的详细报告。
一名因强直性肌营养不良导致颈椎后凸的43岁男性患者，采用自体髂骨并使用脊柱内固定器械进行了枕骨 - T2融合术。
患者的日常生活活动能力明显改善，且良好效果持续保持了5年。围手术期未出现任何重大并发症。
颈椎手术矫正不一定是强直性肌营养不良的禁忌证。
