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小儿椎间盘钙化:一种无需手术干预的病变

Pediatric intervertebral disc calcification: A no touch lesion.

作者信息

Garg Monika, Kumar Sanyal, Satija Bhawna, Gupta Rajat

机构信息

Department of Radiodiagnosis, Employee's State Insurance Hospital and Post Graduate Institute of Medical Science and Research, Basaidarapur, New Delhi, India.

出版信息

J Craniovertebr Junction Spine. 2012 Jan;3(1):23-5. doi: 10.4103/0974-8237.110123.

Abstract

Intervertebral disc calcification (IVDC), though rare, remains an important differential of pediatric spinal pain. A 7-year-old boy presented with sudden-onset severe neck pain and restricted movements. There was no definite history of trauma or infection. Imaging of the cervical spine showed calcification of the intervertebral disc at C2-3 level, with significant posterior protrusion into the spinal canal causing compression of the cervical spinal cord. The child was kept on conservative management. The calcification and posterior protrusion showed near-complete resolution on 3-month follow-up. This case report emphasizes that childhood IVDC is a benign condition which commonly resolves spontaneously, without any surgical intervention and neurological sequelae.

摘要

椎间盘钙化(IVDC)虽然罕见,但仍是小儿脊柱疼痛的重要鉴别诊断之一。一名7岁男孩突发严重颈部疼痛且活动受限。无明确的外伤或感染史。颈椎影像学检查显示C2 - 3水平椎间盘钙化,并有明显的向后突出至椎管内,导致颈髓受压。该患儿接受了保守治疗。3个月随访时,钙化及向后突出几乎完全消退。本病例报告强调儿童IVDC是一种良性疾病,通常可自发缓解,无需任何手术干预,也不会遗留神经后遗症。

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