Woodacre Timothy, Sewell Matthew, Clarke Andrew J, Hutton Mike
Department of Spinal Surgery, Trauma and Orthopaedics, Royal Devon and Exeter Hospital, Exeter, Devon, UK.
BMJ Case Rep. 2016 Jun 10;2016:bcr2016214565. doi: 10.1136/bcr-2016-214565.
Spinal stenosis can be a very disabling condition. Surgical decompression carries a risk of dural tear and neural injury, which is increased in patients with severe stenosis or an atypical anatomy. We present an unusual case of symptomatic stenosis secondary to achondroplasia presenting in a paediatric patient, and highlight a new surgical technique used to minimise the risk of dural and neural injury during decompression.
椎管狭窄可能是一种导致严重功能障碍的病症。手术减压存在硬脊膜撕裂和神经损伤的风险，在严重狭窄或解剖结构不典型的患者中这种风险会增加。我们报告了一例小儿患者因软骨发育不全继发症状性狭窄的罕见病例，并着重介绍了一种新的手术技术，该技术用于在减压过程中将硬脊膜和神经损伤的风险降至最低。
