Meneses-Quintero David, Alvarado-Gómez Fernando, Alcalá-Cerra Gabriel
Department of Spine Surgery, Instituto de Ortopedia Infantil Roosevelt, Bogotá, Colombia.
Department of Spine Surgery, Instituto de Ortopedia Infantil Roosevelt, Bogotá, Colombia ; Department of Neurologic Research, Health Sciences and Neurosciences (CISNEURO) Research Group, Cartagena de Indias, Cartagena, Colombia ; Department of Neurosurgery, Universidad de Cartagena, Cartagena, Colombia.
J Craniovertebr Junction Spine. 2015 Apr-Jun;6(2):79-82. doi: 10.4103/0974-8237.156067.
The authors report a rare case of spontaneous dystrophic thoracic spine dislocation in a 14-year-old boy with neurofibromatosis type 1 (NF-1). Anteroposterior and lateral standing radiographs showed a dysplastic kyphoscoliotic deformity, with the thoracic kyphosis and scoliosis measuring 75° and 69°, respectively. Three-dimensional reconstruction after computed tomography demonstrated spondyloptosis at T5-T6 with overlapping of T5 over T6 and T7. The patient underwent circumferential fusion with anterior fibular strut grafting mechanically secured between the inferior and superior endplates of T5 and T7 followed by an instrumented posterior fusion from T2 to L1 and thoracoplasty. There was satisfactory resolution of the deformity with stabilization at the last follow-up evaluation.
作者报告了一例罕见的14岁1型神经纤维瘤病（NF-1）男孩自发性营养不良性胸椎脱位病例。站立位前后位和侧位X线片显示发育异常的脊柱后凸侧弯畸形，胸椎后凸和侧弯分别为75°和69°。计算机断层扫描后的三维重建显示T5-T6椎体滑脱，T5重叠于T6和T7之上。患者接受了前路腓骨支撑植骨环形融合术，腓骨支撑植骨通过机械固定于T5和T7的上下终板之间，随后进行了从T2至L1的后路器械融合术和胸廓成形术。在最后一次随访评估时，畸形得到了满意的矫正且实现了稳定。
