单纯球囊扩张椎体后凸成形术治疗小儿创伤性爆裂骨折。
Stand-Alone Balloon Kyphoplasty for Treatment of Traumatic Burst Fracture in Pediatric Patient.
机构信息
Department of Neurosurgery, Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA.
Department of Neurosurgery, Oakland University William Beaumont School of Medicine, Rochester, Michigan, USA.
出版信息
World Neurosurg. 2019 May;125:475-480. doi: 10.1016/j.wneu.2019.01.184. Epub 2019 Feb 8.
BACKGROUND
Kyphoplasty is commonly employed in the treatment of compression fractures in the elderly and is increasingly used in the treatment of adult trauma along with concomitant instrumentation. Although kyphoplasty with instrumentation has been reported in pediatric patients, concerns regarding retardation of spinal growth and iatrogenic spinal deformity have been raised. The utilization of kyphoplasty without instrumentation has yet to be reported in the case of pediatric patients.
CASE DESCRIPTION
A 13-year-old male presented to the emergency department with a traumatic L2 burst fracture with 50% loss of height, which continued to cause severe pain after a trial of bracing. He was subsequently treated with a kyphoplasty without instrumentation. He experienced a rapid and excellent recovery and resumed all previous activity.
CONCLUSIONS
Kyphoplasty alone without instrumentation is a less invasive means to treat these patients and also prevents iatrogenic deformity or retardation of growth in the pediatric spine.
背景
椎体后凸成形术常用于治疗老年人的压缩性骨折，并且越来越多地用于治疗成人创伤以及伴随的器械固定。尽管已经有报道称在儿科患者中使用了带有器械的椎体后凸成形术，但人们对脊柱生长延迟和医源性脊柱畸形的担忧已经提出。在儿科患者中，尚未有报道称使用不带器械的椎体后凸成形术。
病例描述
一名 13 岁男性因外伤性 L2 爆裂性骨折就诊，骨折高度丢失 50%，在尝试支具固定后仍持续出现严重疼痛。随后，他接受了不带器械的椎体后凸成形术治疗。他恢复迅速且效果极佳，并恢复了所有之前的活动。
结论
单独使用不带器械的椎体后凸成形术是一种侵入性较小的治疗方法，还可以防止医源性畸形或儿童脊柱生长迟缓。
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