伴有腰椎发育不全及骶骨存在的非典型尾椎退化综合征——病例报告及文献综述
Atypical caudal regression syndrome with agenesis of lumbar spine and presence of sacrum - case report and literature review.
作者信息
Szumera Edyta, Jasiewicz Barbara, Potaczek Tomasz
机构信息
a Department of Orthopedics and Rehabilitation , Jagiellonian University Medical College , Krakow , Poland.
出版信息
J Spinal Cord Med. 2018 Jul;41(4):496-500. doi: 10.1080/10790268.2017.1369211. Epub 2017 Sep 6.
Abstract
CONTEXT
Caudal regression syndrome is a rare disorder, not well described in the literature.
FINDINGS
Authors treated two patients with congenital absence of thoracolumbar vertebrae and lower limbs paraplegia. Patients had hypoplasia of the lower trunk and extremities with motion between upper and lower torso. Imaging showed caudal spine agenesis, but cleft sacrum was present. Due to severe kyphotic deformity and spinal instability, deformity correction and posterior fusion was performed at the age 6 and 8. Finally, fusion was achieved in one case and stable but non-fusion kyphotic posture was observed in second.
CONCLUSION
surgery in caudal regression syndrome is challenging and bears high risk of complications.
摘要
背景
尾椎退化综合征是一种罕见疾病，文献中对此描述不多。
研究结果
作者治疗了两名先天性胸腰椎缺失及下肢截瘫患者。患者下半身和四肢发育不全，上下躯干之间存在活动。影像学检查显示尾椎发育不全，但存在骶骨裂。由于严重的后凸畸形和脊柱不稳定，分别在6岁和8岁时进行了畸形矫正和后路融合手术。最终，一例实现了融合，另一例观察到稳定但未融合的后凸姿势。
结论
尾椎退化综合征的手术具有挑战性，且并发症风险高。
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