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Double trouble!!! An unusual presentation of cervical cord herniation and medial end clavicle non-union in a single patient.双重麻烦!!!一名患者出现颈椎脊髓疝和锁骨内侧端骨不连的罕见表现。
BMJ Case Rep. 2018 Apr 18;2018:bcr-2018-224393. doi: 10.1136/bcr-2018-224393.
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The Pathogenesis of Ventral Idiopathic Herniation of the Spinal Cord: A Hypothesis Based on the Review of the Literature.脊髓腹侧特发性疝的发病机制:基于文献综述的一种假说
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Cervical spinal cord herniation along with epidural cyst after posterior cervical spine surgery.颈椎后路手术后颈椎脊髓疝伴硬膜外囊肿
Spine J. 2016 Aug;16(8):e533. doi: 10.1016/j.spinee.2016.01.204. Epub 2016 Feb 4.
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Cervical spinal cord herniation.颈段脊髓疝
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Idiopathic ventral spinal cord herniation: an increasingly recognized cause of thoracic myelopathy.特发性脊髓腹侧疝:一种日益被认识到的胸段脊髓病病因。
J Cent Nerv Syst Dis. 2014 Oct 1;6:85-91. doi: 10.4137/JCNSD.S16180. eCollection 2014.
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Late postoperative cervical spinal cord herniation.术后晚期颈段脊髓疝
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Malunion after midshaft clavicle fractures in adults.成人锁骨中段骨折畸形愈合。
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Displaced fractures of the medial end of the clavicle: report of five cases.锁骨内侧端移位骨折:5 例报告。
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Image classification of idiopathic spinal cord herniation based on symptom severity and surgical outcome: a multicenter study.基于症状严重程度和手术结果的特发性脊髓疝的图像分类:一项多中心研究。
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Operative treatment of anterior thoracic spinal cord herniation: three new cases and an individual patient data meta-analysis of 126 case reports.胸段脊髓前侧疝的手术治疗:3例新病例及126例病例报告的个体患者数据荟萃分析
Neurosurgery. 2009 Mar;64(3 Suppl):ons145-59; discussion ons159-60. doi: 10.1227/01.NEU.0000327686.99072.E7.

双重麻烦!!!一名患者出现颈椎脊髓疝和锁骨内侧端骨不连的罕见表现。

Double trouble!!! An unusual presentation of cervical cord herniation and medial end clavicle non-union in a single patient.

作者信息

Kharat Amit, Maheshwari Sagar, Choudhury Priyam, Mohapatra Ashutosh

机构信息

Department of Radiology, Dr D. Y. Patil Vidyapeeth, Pimpri, Maharashtra, India.

Department of Radiology, Dr D. Y. Patil Medical College and Hospital, Dr D. Y. Patil Vidyapeeth, Pimpri, Maharashtra, India.

出版信息

BMJ Case Rep. 2018 Apr 18;2018:bcr-2018-224393. doi: 10.1136/bcr-2018-224393.

DOI:10.1136/bcr-2018-224393
PMID:29669773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5911141/
Abstract

Non-union of medial end clavicle is rare. Though traditionally they have been treated with conservative methods, surgery at initial presentation should be considered in these patients since conservative treatment can lead to non-union. Herniation of spinal cord, though rare, is seen in the thoracic region but can also occur in the cervical region post-traumatically as seen in our patient.

摘要

锁骨内侧端骨不连较为罕见。尽管传统上一直采用保守方法治疗,但对于这些患者,初次就诊时应考虑手术治疗,因为保守治疗可能导致骨不连。脊髓疝虽然罕见,但多见于胸段,不过也可在创伤后发生于颈段,如我们的患者所示。