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开胸手术治疗气管食管瘘后肋骨融合所致脊柱侧弯:病例报告

Scoliosis caused by rib fusion following thoracotomy for tracheoesophageal fistula: case report.

作者信息

Dunlay Ryan P, Jones Kevin B, Weinstein Stuart L

出版信息

Iowa Orthop J. 2007;27:95-8.

Abstract

Scoliosis as a late complication of thoracotomy has been described previously, but reports are rare. We present the case of a 22-year-old female referred for symptomatic scoliosis. Radiographs demonstrated a severe, structural, upper-thoracic scoliosis with associated right-sided rib fusions. Her medical history was noteworthy for a right posterolateral thoracotomy for repair of a tracheoesophageal fistula during infancy. Radiographs from her general surgical treatments during infancy demonstrated no congenital rib or vertebral anomalies. This report reviews her case in detail as well as the scarce literature available regarding scoliosis secondary to thoracotomy at a young age.

摘要

先前已有关于开胸术后脊柱侧弯作为晚期并发症的描述,但报告罕见。我们报告一例22岁有症状性脊柱侧弯的女性病例。X线片显示严重的、结构性的上胸椎脊柱侧弯并伴有右侧肋骨融合。她的病史值得注意,婴儿期因气管食管瘘修补术接受了右后外侧开胸手术。她婴儿期普通外科治疗的X线片显示无先天性肋骨或椎体异常。本报告详细回顾了她的病例以及关于年轻时开胸术后脊柱侧弯的稀少文献。

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AJR Am J Roentgenol. 1983 Sep;141(3):457-60. doi: 10.2214/ajr.141.3.457.
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Thoracotomy and scoliosis.
Spine (Phila Pa 1976). 1991 Sep;16(9):1124-5. doi: 10.1097/00007632-199109000-00019.
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Scoliosis caused by rib fusion after thoracotomy for esophageal atresia. Report of a case and review of the literature.
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