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[患有埃勒斯-当洛综合征的儿童和青少年脊柱后凸-脊柱侧凸畸形及其治疗]

[Kyphotic-scoliotic deformities of the spine in children and adolescents with Ehlers-Danlos syndrome and their treatment].

作者信息

Pozdnikin Iu I, Ryzhakov Iu P

出版信息

Ortop Travmatol Protez. 1990 Nov(11):5-10.

PMID:2095499
Abstract

In the article are presented the results of observation of 8 patients, aged 4-16 years, with Ehlers-Danlos++ syndrome, one of the most frequent hereditary disease with generalized affection of connective tissue. ++Clinico-roentgenologic characteristic of kyphotic-scoliotic++ deformity of vertebral column indicates its progressive nature, that determines indications for surgical intervention but concomitant changes of cardiovascular system should be considered. Preoperative preparation includes measures for vertebral column mobilization as well as pharmacotherapy with retabolil in combination with ascorbic acid, calcetrine and methyluracil++. Selected method of operative treatment is Harrington-Luck techniques in case of scoliosis prevalence and application of original endocorrector with associated influence at kyphotic component. As a result of treatment scoliosis is corrected, on average, by 49,2% and kyphosis by 62,7%.

摘要

本文介绍了对8例4至16岁患有埃勒斯-当洛++综合征患者的观察结果,该综合征是最常见的遗传性疾病之一,会导致结缔组织全身性受累。++脊柱后凸-脊柱侧凸畸形的临床-放射学特征表明其具有进行性,这决定了手术干预的指征,但应考虑心血管系统的伴随变化。术前准备包括脊柱松动措施以及使用去氢甲睾酮联合抗坏血酸、钙三醇和甲基尿嘧啶进行药物治疗。++在脊柱侧凸占主导的情况下,选择的手术治疗方法是哈林顿-勒克技术,并应用对后凸成分有相关影响的原创内固定器。治疗结果显示,脊柱侧凸平均矫正49.2%,后凸矫正62.7%。

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引用本文的文献

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Vascular Injury After Scoliosis Correction in Ehlers-Danlos Syndrome: Proceed With Caution.马凡综合征脊柱侧凸矫形术后血管损伤:需谨慎处理。
J Am Acad Orthop Surg Glob Res Rev. 2023 Aug 15;7(8). doi: 10.5435/JAAOSGlobal-D-23-00061. eCollection 2023 Aug 1.
2
Spine deformities in patients with Ehlers-Danlos syndrome, type IV - late results of surgical treatment.IV型埃勒斯-当洛综合征患者的脊柱畸形——手术治疗的远期结果
Scoliosis. 2010 Nov 25;5:26. doi: 10.1186/1748-7161-5-26.