Todd Andrew G, Gupta Purnendu
Division of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago Hospitals, 5841 S. Maryland Avenue MC 3079, Chicago, IL 60637, USA.
Spine J. 2006 Nov-Dec;6(6):704-7. doi: 10.1016/j.spinee.2006.02.028. Epub 2006 Jul 26.
Few studies have described the diagnosis of osteoblastoma of the spine as a cause of scoliosis. These reports have described the tumor in conjunction with initial presentation of painful scoliosis. This case report presents a case of osteoblastoma 9 years removed from diagnosis and fusion of idiopathic scoliosis in the thoracic spine.
To report the late presentation of an osteoblastoma of the thoracic spine 9 years after posterior spinal fusion for scoliosis.
Case report.
A 25-year-old man presented with thoracolumbar back pain and progressive neurological deficit 9 years after posterior spinal fusion for idiopathic scoliosis. Magnetic resonance imaging of the thoracic spine indicated the presence of a mass in the spinal canal causing cord compression. The patient underwent decompression with resection of the mass which was found to be an aggressive osteoblastoma.
The patient enjoyed a full neurological recovery and has subsequently developed a recurrence at 13 months.
We present osteoblastoma as a possible cause of low back pain and neurological deficit postfusion that should be considered in a differential diagnosis.
很少有研究将脊柱骨母细胞瘤作为脊柱侧弯的病因进行描述。这些报告描述了该肿瘤与疼痛性脊柱侧弯的初始表现相关。本病例报告呈现了一例在诊断并融合特发性胸椎侧弯9年后出现的骨母细胞瘤病例。
报告脊柱后路融合治疗脊柱侧弯9年后胸椎骨母细胞瘤的迟发性表现。
病例报告。
一名25岁男性在特发性脊柱侧弯后路融合术后9年出现胸腰段背痛和进行性神经功能缺损。胸椎磁共振成像显示椎管内有一个肿块导致脊髓受压。患者接受了减压并切除了肿块，发现是侵袭性骨母细胞瘤。
患者神经功能完全恢复，随后在13个月时复发。
我们提出骨母细胞瘤是融合术后腰背痛和神经功能缺损的可能原因，在鉴别诊断时应予以考虑。
