重度腰椎滑脱症合并隐性脊柱裂

Spina bifida occulta in high grade spondylolisthesis.

作者信息

Babbi L, Terzi S, Bandiera S, Barbanti Brodano G

机构信息

Department of Oncological and Degenerative Spine Surgery, Rizzoli Orthopedic Institute, Bologna, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2014;18(1 Suppl):8-14.

PMID:24825035

Abstract

A 14-year-old boy presented with symptomatic high-grade dysplastic type spondylolisthesis, with a presence of spina bifida occulta, not diagnosed by plain radiographs, but confirmed on preoperative CT and MR. Circumferential fusion with partial reduction of L5/S1 was performed. Awareness of the coexistence of spondylolisthesis and spina bifida by an accurate preoperative planning is paramount to avoid iatrogenic damage to neural elements during surgery.

摘要

一名14岁男孩因有症状的高度发育异常型脊椎滑脱就诊，伴有隐性脊柱裂，平片未诊断出，但术前CT和MR证实。进行了L5/S1部分复位的环形融合术。通过准确的术前规划认识到脊椎滑脱和脊柱裂的并存对于避免手术期间对神经结构造成医源性损伤至关重要。