成骨不全症患者脊髓损伤康复期发生股骨和腰椎骨折：病例报告。

Femoral and Lumbar Fractures During Rehabilitation for a Traumatic Spinal Cord Injury in Osteogenesis Imperfecta: A Case Presentation.

机构信息

Northwestern University/McGaw Medical Center, Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL; Rehabilitation Institute of Chicago, 345 E Superior Street, Suite 1600, Chicago, IL 60611(∗).

出版信息

PM R. 2017 Nov;9(11):1175-1178. doi: 10.1016/j.pmrj.2017.04.010. Epub 2017 May 5.

DOI:10.1016/j.pmrj.2017.04.010

PMID:28483687

Abstract

UNLABELLED

Osteogenesis imperfecta (OI) is one of the most common inherited bone disorders. These individuals are high-risk for developing fractures during their lifetime secondary to bone fragility. This case presents a female with type I OI involved in a high speed motor vehicle accident resulting in a traumatic spinal cord injury (SCI) and paraplegia. Inpatient rehabilitation was complicated by fractures of the femur and lumbar spine which impacted her level of independence upon discharge to prevent additional fractures and maintain safety. OI coupled with SCI creates a difficult combination for the rehabilitation team. This case highlights the complexity of this challenge to bring awareness to the rehabilitation team in order to safely maximize independence and minimize and prevent unnecessary injury when designing an interdisciplinary treatment plan.

LEVEL OF EVIDENCE

摘要

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成骨不全症（OI）是最常见的遗传性骨骼疾病之一。这些人由于骨骼脆弱，一生中发生骨折的风险很高。本病例介绍了一名 I 型 OI 女性，她参与了高速汽车事故，导致外伤性脊髓损伤（SCI）和截瘫。住院康复因股骨和腰椎骨折而变得复杂，这影响了她出院时的独立性水平，以防止进一步骨折和保持安全。OI 加上 SCI 给康复团队带来了困难。本病例强调了这一挑战的复杂性，旨在引起康复团队的注意，以便在设计跨学科治疗计划时安全地最大限度地提高独立性并最小化和预防不必要的伤害。