孤立性胸长神经麻痹——脊柱前路手术的一种罕见并发症：病例报告
Isolated long thoracic nerve paralysis - a rare complication of anterior spinal surgery: a case report.
作者信息
Ameri Ebrahim, Behtash Hamid, Omidi-Kashani Farzad
出版信息
J Med Case Rep. 2009 Jun 23;3:7366. doi: 10.4076/1752-1947-3-7366.
INTRODUCTION
Isolated long thoracic nerve injury causes paralysis of the serratus anterior muscle. Patients with serratus anterior palsy may present with periscapular pain, weakness, limitation of shoulder elevation and scapular winging.
CASE PRESENTATION
We present the case of a 23-year-old woman who sustained isolated long thoracic nerve palsy during anterior spinal surgery which caused external compressive force on the nerve.
CONCLUSION
During positioning of patients into the lateral decubitus position, the course of the long thoracic nerve must be attended to carefully and the nerve should be protected from any external pressure.
引言
孤立性胸长神经损伤会导致前锯肌麻痹。前锯肌麻痹的患者可能会出现肩胛周围疼痛、无力、肩部抬高受限和肩胛骨翼状畸形。
病例报告
我们报告一例23岁女性病例，该患者在脊柱前路手术期间发生孤立性胸长神经麻痹，手术对神经造成了外部压迫。
结论
在将患者安置为侧卧位时，必须仔细留意胸长神经的走行，应保护神经免受任何外部压力。
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