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一例玻璃异物移入腰椎管的病例报告。

A glass foreign body migrating into the lumbar spinal canal: a case report.

作者信息

Yoshioka Katsuhito, Kawahara Norio, Murakami Hideki, Demura Satoru, Matsuda Masaki, Tomita Katsuro

机构信息

Department of Orthopaedic Surgery, School of Medicine, Kanazawa University, Kanazawa, Japan.

出版信息

J Orthop Surg (Hong Kong). 2012 Aug;20(2):257-9. doi: 10.1177/230949901202000226.

Abstract

We report on a 12-year-old boy in whom a glass fragment migrated into the lumbar spinal canal causing low back pain and radiculopathy 6 years after injury. Computed tomography showed a foreign body in the anterior spinal canal of L5/S1. The patient underwent recapping T-saw laminoplasty to remove the foreign body. Scar formation was noted at the anterior dura. The glass fragment seemed to have penetrated into the intradural space from an anterior site. Postoperatively, the pain resolved immediately. At the 9-year follow-up, the alignment of the lumbar spine and healing of L5 was good, with no features of aseptic necrosis.

摘要

我们报告了一名12岁男孩的病例,他在受伤6年后,一块玻璃碎片移入腰椎管,导致腰痛和神经根病。计算机断层扫描显示L5/S1椎管前部有异物。患者接受了翻修T型锯椎板成形术以取出异物。硬脊膜前部有瘢痕形成。玻璃碎片似乎从前部位置穿入硬膜内间隙。术后疼痛立即缓解。在9年的随访中,腰椎排列和L5愈合良好,无无菌性坏死特征。

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