Beck Aaron, Skaggs David L, Kovach Tracy, Kiehna Erin, Andras Lindsay M
Harbor UCLA Medical Center, Torrance, CA, 90502, USA.
Children's Orthopaedic Center, Children's Hospital Los Angeles, 4650 Sunset Blvd, MS#69, Los Angeles, CA, 90027, USA.
Spine Deform. 2020 Apr;8(2):339-344. doi: 10.1007/s43390-019-00023-1. Epub 2020 Feb 11.
Case report (retrospective).
These two cases of paralysis secondary to aneurysmal bone cysts (ABCs) demonstrated complete neurologic recovery following decompression and posterior spinal fusion. Although neurologic injury from ABCs has been described, information about the prognosis in the pediatric population is limited.
We review two cases of paralysis caused by ABCs in the thoracic spine in pediatric patients.
Two patients (aged 12 and 13 years) presented to our emergency department with inability to ambulate and 0/5 strength in their lower extremities due to spinal cord compression from ABCs in their thoracic spine. Both patients had been unable to ambulate (case 1: nonambulatory for 2 weeks before presentation; case 2: nonambulatory for 1 week before presentation). The second patient also had loss of bowel and bladder control. They were managed with decompression and posterior spinal fusion. Both patients made complete neurologic recoveries.
It is unclear whether age, chronicity of compression, or other factors contributed; nevertheless, the recovery in these two similar patients far exceeded initial expectations, especially in the case that presented as an American Spinal Injury Association Impairment Scale class A.
Level V.
病例报告（回顾性）。
这两例继发于骨囊肿性动脉瘤（ABC）的瘫痪病例在减压和后路脊柱融合术后实现了完全神经功能恢复。尽管已有ABC导致神经损伤的相关描述，但关于儿科患者预后的信息有限。
我们回顾了两例儿科患者因胸椎ABC导致瘫痪的病例。
两名患者（年龄分别为12岁和13岁）因胸椎ABC压迫脊髓，导致无法行走且下肢肌力为0/5，前来我院急诊科就诊。两名患者均无法行走（病例1：就诊前2周无法行走；病例2：就诊前1周无法行走）。第二名患者还出现了大小便失禁。他们接受了减压和后路脊柱融合治疗。两名患者均实现了完全神经功能恢复。
目前尚不清楚年龄、压迫的慢性程度或其他因素是否起作用；然而，这两名相似患者的恢复情况远远超出了最初的预期，尤其是对于表现为美国脊髓损伤协会损伤分级A级的病例。
V级。
