Ho Allen L, Mohole Jyodi, Sussman Eric S, Pendharkar Arjun V, Singh Harminder
Department of Neurosurgery, Stanford University, Stanford, California, United States.
J Neurol Surg Rep. 2018 Jan;79(1):e19-e22. doi: 10.1055/s-0038-1639341. Epub 2018 Mar 20.
Arthrogryposis multiplex congenita is a rare, nonprogressive congenital disorder that describes a constellation of conditions characterized by multiple joint contractures. Spinal pathology and deformity are common; however, the majority of the literature on arthrogryposis is focused on pediatric management. There exist very few reports on long-term outcomes and management of adults with arthrogryposis. We present a case of cervical spinal stenosis in an adult female with arthrogryposis that underwent posterior cervical decompression and fusion. A review of spine-related sequelae seen in adults with arthrogryposis and considerations for spinal surgery for these patients is discussed.
先天性多发性关节挛缩症是一种罕见的、非进行性先天性疾病,其特征是多种关节挛缩的一系列病症。脊柱病变和畸形很常见;然而,关于关节挛缩症的大多数文献都集中在儿科治疗方面。关于成年关节挛缩症患者的长期预后和治疗的报道非常少。我们报告一例患有关节挛缩症的成年女性颈椎管狭窄病例,该患者接受了后路颈椎减压融合术。本文讨论了成年关节挛缩症患者所见的脊柱相关后遗症以及对这些患者进行脊柱手术的注意事项。