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8 岁男孩胸腰椎间盘钙化:病例报告及文献复习。

Thoracolumbar intervertebral disc calcifications in an 8-year-old boy: case report and review of the literature.

机构信息

Department of Musculoskeletal Science, Division of Orthopedics-Pediatric Orthopedics, University Hospital Pellenberg, Weligerveld 1, Pellenberg, Belgium.

出版信息

Eur J Pediatr. 2010 May;169(5):577-80. doi: 10.1007/s00431-009-1076-z. Epub 2009 Oct 8.

Abstract

An 8-year-old boy presented himself with a nontraumatic acute onset of thoracolumbar pain with an antalgic scoliosis. His past medical history did not reveal any infectious disorder. The back pain kept him from sleep and sports. Imaging revealed calcified intervertebral discs from thoracic intervertebral disc 10-11 to lumbar disc 2-3, with compression of the 11th thoracic root. Conservative treatment with analgesia, nonsteroidal anti-inflammatory drugs, and rest reduced the symptoms within a few days. The boy became asymptomatic within 2 weeks. Magnetic resonance imaging changes diminished in 2 months. Intervertebral disc calcification in children is a rare benign disorder which mostly affects the cervical spine. This is the first case, to our knowledge, of symptomatic intervertebral disc calcification involving the lumbar spine up to lumbar disc 2-3.

摘要

一位 8 岁男孩因非外伤性急性胸腰椎痛伴腰痛性脊柱侧凸就诊。其既往病史无感染性疾病。腰痛使他无法入睡和进行运动。影像学检查显示从第 10-11 胸椎椎间盘到第 2-3 腰椎椎间盘有钙化的椎间盘,第 11 胸神经根受压。镇痛、非甾体抗炎药和休息等保守治疗在数天内缓解了症状。2 周内男孩无症状。2 个月时磁共振成像的改变减轻。儿童椎间盘钙化是一种罕见的良性疾病,主要影响颈椎。据我们所知,这是首例累及腰椎至第 2-3 腰椎的症状性椎间盘钙化病例。

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