Modi Hitesh N, Suh Seung Woo, Song Hae-Ryong, Hazra Sunit, Lee Seok-Hyun
Department of Orthopedics, Korea University Guro Hospital, Seoul, Korea.
J Pediatr Orthop B. 2008 Sep;17(5):225-9. doi: 10.1097/BPB.0b013e3283068888.
Literature, describing scoliosis in patients of osteogenesis imperfecta (OI), favors operative treatment as soon as possible in the form of fixation with instrumentation and fusion to prevent curve progress and pulmonary function deterioration. There are various complications associated with the treatment of scoliosis in OI before, during, and after surgery because of poor bone quality in such patients. We presented a case report of stress-induced transverse fracture of both iliac wings after scoliosis surgery in a 16-year-old girl with OI, who was treated conservatively. Owing to unusual symptoms and continuous dull pain in her back, the diagnosis was delayed during which the conditions made her life miserable. This report also suggests that a stress fracture should be on high suspicion in OI patients when they present with minor difference in the nature of pain.
文献表明,对于成骨不全(OI)患者的脊柱侧凸,倾向于尽早采取手术治疗,即通过器械固定和融合来防止侧弯进展和肺功能恶化。由于此类患者骨质较差,在OI患者脊柱侧凸治疗的术前、术中和术后会出现各种并发症。我们报告了一例16岁患有OI的女孩在脊柱侧凸手术后出现双侧髂骨翼应力性横骨折的病例,该患者接受了保守治疗。由于出现异常症状和持续的背部隐痛,诊断有所延迟,在此期间病情使她的生活痛苦不堪。本报告还表明,当OI患者出现疼痛性质略有不同时,应高度怀疑存在应力性骨折。