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孤立性骶骨骨软骨瘤致年轻女性姿势困难:1例报告并文献复习

Solitary Sacral Osteochondroma Causing Postural Difficulty in a Young Female: A Case Report and a Review of the Literature.

作者信息

Tripathy Sujit K, Nanda Saurav N, Sable Mukund K, Doki Sunil, Velagada Sandeep

机构信息

Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, IND.

Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.

出版信息

Cureus. 2019 Dec 26;11(12):e6470. doi: 10.7759/cureus.6470.

Abstract

Sacral osteochondromas are rare tumors, and a handful of cases have been reported in the literature. The clinical manifestations of sacral osteochondral may vary from a painless mass to a complete neurological deficit. We report a case of sacral osteochondroma arising from S2-3 lamina causing difficulty in lying down in the supine position and sitting. Computed tomographic (CT) scan and magnetic resonance imaging (MRI) delineated the extent of the lesion and confirmed it to be a benign tumor. It was excised en bloc through a posterior midline approach. At two years follow-up, the patient was asymptomatic and the radiograph did not show any evidence of recurrence. To the best of our knowledge, this is the second case report on sacral osteochondroma, which caused postural difficulty in a young female.

摘要

骶骨骨软骨瘤是一种罕见的肿瘤,文献中仅报道过少数病例。骶骨骨软骨瘤的临床表现可能从无痛性肿块到完全性神经功能缺损不等。我们报告一例起源于S2-3椎板的骶骨骨软骨瘤病例,该病例导致患者仰卧位和坐位时出现困难。计算机断层扫描(CT)和磁共振成像(MRI)明确了病变范围,并证实其为良性肿瘤。通过后正中入路将肿瘤整块切除。在两年的随访中,患者无症状,X线片未显示任何复发迹象。据我们所知,这是第二例关于骶骨骨软骨瘤导致年轻女性出现姿势困难的病例报告。

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