Talamonti Giuseppe, D'Aliberti Giuseppe Antonio, Debernardi Alberto, Picano Marco
Department of Neurosurgery, AO Niguarda, Milan, Italy.
BMJ Case Rep. 2012 Dec 20;2012:bcr2012007660. doi: 10.1136/bcr-2012-007660.
An 11-year-old girl was treated by corpectomy and anterior fusion because of the destruction of the C7 vertebral body. Pathological studies were not conclusive. The outcome was excellent, but 18 months later, she required thoracic corpectomy with anterior fusion owing to the impending kyphotic fracture of the Th8 vertebral body. Langerhans cell histiocytosis was now recognised and chemotherapy was given. 3 years later, the disease appears well controlled with normal shape of both the operated vertebral levels and maintenance of the movements of the adjacent vertebrae.
一名11岁女孩因C7椎体破坏接受了椎体切除及前路融合术。病理研究结果不明确。结果良好，但18个月后，由于T8椎体即将发生后凸骨折，她需要接受胸椎椎体切除及前路融合术。此时诊断为朗格汉斯细胞组织细胞增多症并给予化疗。3年后，病情似乎得到了很好的控制，手术椎体节段形态正常，相邻椎体活动得以维持。
