下颈椎骨放射性坏死——一种罕见且严重的并发症：病例报告

Rashid M Z, Ariffin M H, Rhani S A, Baharudin A, Ibrahim K

Department of Orthopaedics, Universiti Kebangsaan Malaysia, Cheras, Malaysia.

Malays Orthop J. 2017 Nov;11(3):53-55. doi: 10.5704/MOJ.1711.005.

Osteoradionecrosis, a rare complication of radiation therapy, is a slow progression disease which affects the surrounding structures of spinal components. It essentially weakens the soft tissue and bony configuration and can cause nerve impingement or cord compression. We describe a patient who underwent radiotherapy for thyroid cancer and presented with cervical kyphosis with anterolisthesis of C3/C4 and C4/C5 some 32 years later. We explore the role of anterior and posterior fusion, as well as hyperbaric oxygen therapy in promoting healing.

放射性骨坏死是放射治疗的一种罕见并发症，是一种进展缓慢的疾病，会影响脊柱组件的周围结构。它本质上会削弱软组织和骨骼结构，并可能导致神经受压或脊髓压迫。我们描述了一名因甲状腺癌接受放疗的患者，约32年后出现颈椎后凸伴C3/C4和C4/C5椎体前滑脱。我们探讨了前路和后路融合以及高压氧治疗在促进愈合中的作用。