Chu Jianjun, Wang Tao, Pei Shaobao, Yin Zongsheng
Department of Spine Surgery, Hefei Binhu Hospital, The Third Affiliated Hospital of Anhui Medical University, Hefei, Anhui, 230601, China.
Childs Nerv Syst. 2015 Jan;31(1):123-7. doi: 10.1007/s00381-014-2539-8. Epub 2014 Sep 6.
Intervertebral disc calcification (IDC) is rare in children. Conservative treatment has been recommended for the majority of cases. We describe surgical treatment of a case of IDC with progressive neurological impairment and review the literature relevant to this rare entity and its management.
A 16-year-old boy presented with sudden onset of severe neck pain, radiating into his left shoulder. Three months later, he developed neurological symptoms and signs with a progressive motor and sensory loss of his left upper limb.
Anterior cervical corpectomy with fusion and instrumentation was performed. Neurologic deficits completely resolved within 1 week. After 1-year follow-up, radiological images showed solid fusion and no further compression.
Surgical decompression should be recommended for cases with acutely progressive and severe neurological impairments in IDC and a good result can be obtained. When surgery is needed, anterior decompression is usually used in cervical lesion, while in thoracic and lumbar area, posterior approach is suggested.
儿童椎间盘钙化（IDC）较为罕见。大多数病例建议采用保守治疗。我们描述了一例伴有进行性神经功能障碍的IDC病例的手术治疗，并回顾了与此罕见病症及其治疗相关的文献。
一名16岁男孩突然出现严重颈部疼痛，并放射至左肩。三个月后，他出现神经症状和体征，左上肢运动和感觉逐渐丧失。
实施了前路颈椎椎体次全切除融合内固定术。神经功能缺损在1周内完全恢复。随访1年后，影像学检查显示融合牢固，无进一步压迫。
对于IDC伴有急性进行性严重神经功能障碍的病例，应建议手术减压，且可取得良好效果。如需手术，颈椎病变通常采用前路减压，而胸腰椎病变则建议采用后路手术。
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