伴有严重术后呼吸问题的克鲁宗综合征相关重度脊柱后凸畸形的手术矫正：一例报告
Surgical Correction of Severe Kyphoscoliosis Associated with Crouzon Syndrome with Serious Postoperative Respiratory Problems: A Case Report.
作者信息
Umezu Taro, Fujita Nobuyuki, Yagi Mitsuru, Tsuji Osahiko, Nagoshi Narihito, Ishii Ken, Nakamura Masaya, Matsumoto Morio, Watanabe Kota
机构信息
Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, Tokyo, Japan.
出版信息
JBJS Case Connect. 2017 Oct-Dec;7(4):e98. doi: 10.2106/JBJS.CC.17.00011.
CASE
A 12-year-old girl with Crouzon syndrome presented to our hospital with scoliosis (114°) and kyphosis from T8 to T12 (138°). After she had been in halo-gravity traction for 2 weeks, we performed posterior correction and fusion surgery from T3 to L3, with a posterior vertebral column resection of T10. She experienced postoperative respiratory failure and remained on a ventilator for 4 weeks. With rehabilitation, the respiratory function had recovered by postoperative week 8. At the 2-year follow-up, there was no loss of correction or any other complication.
CONCLUSION
Serious perioperative respiratory complications may occur when a patient with Crouzon syndrome is treated surgically.
病例
一名患有克鲁宗综合征的12岁女孩因脊柱侧弯（114°）和T8至T12后凸（138°）前来我院就诊。在进行了2周的头环重力牵引后，我们对其进行了T3至L3的后路矫正融合手术，并切除了T10的后路椎体。她术后出现呼吸衰竭，在呼吸机上维持了4周。经过康复治疗，术后第8周呼吸功能恢复。在2年的随访中，矫正效果无丢失，也未出现任何其他并发症。
结论
克鲁宗综合征患者接受手术治疗时可能会发生严重的围手术期呼吸并发症。
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