Kumar Viswanadha Arun, Babu J Naresh
Mallika Spine Centre, Guntur, Andhra Pradesh, India.
Indian J Orthop. 2019 Jul-Aug;53(4):574-577. doi: 10.4103/ortho.IJOrtho_276_18.
Positional complications in spine surgery are not uncommon. Commonly encountered complications include ocular and aural, other than musculoskeletal injuries. However, development of Tietze's syndrome due to malpositioning has not been reported till date. A 40-year-old male patient presented with postlaminectomy syndrome, for which posterior pedicle screw fixation and fusion was performed. Postoperatively, patient complained of new-onset pain associated with redness and swelling at parasternal region. After thorough radiological investigations, he was diagnosed with Tietze's syndrome at 6 and 7 costo-cartilaginous junction. Tietze's syndrome is itself a rare entity, and its association with malpositioning during prone positioning is uncommon. It is important for the surgeons to be aware of the condition as Tietze's syndrome may be encountered as an off-centered complication due to malpositioning.
脊柱手术中的体位相关并发症并不少见。常见的并发症包括眼耳方面的，以及肌肉骨骼损伤。然而，迄今为止尚未有因体位不当导致蒂策综合征的报道。一名40岁男性患者因椎板切除术后综合征接受了后路椎弓根螺钉固定和融合手术。术后，患者主诉胸骨旁区域出现新发疼痛，并伴有红肿。经过全面的影像学检查，他被诊断为第6和第7肋软骨交界处的蒂策综合征。蒂策综合征本身就是一种罕见疾病，其与俯卧位时体位不当的关联并不常见。外科医生了解这种情况很重要，因为蒂策综合征可能作为体位不当导致的偏中心并发症出现。
