慢性四肢瘫患者因脊柱不足性骨折引起自主反射障碍：病例报告。
Vertebral insufficiency fractures as a cause of autonomic dysreflexia in a patient with chronic tetraplegia: A case report.
机构信息
Department of Rehabilitation Medicine, MedStar Georgetown University, Washington, DC, USA.
MedStar National Rehabilitation Hospital, Washington, DC, USA.
出版信息
J Spinal Cord Med. 2022 Sep;45(5):769-772. doi: 10.1080/10790268.2020.1829421. Epub 2020 Oct 15.
Abstract
Osteoporosis is a known complication in spinal cord injury patients and can result in an increased risk of fractures and associated morbidity. Bone demineralization is most common in long bones below the level of injury. The pathogenesis is complex and not fully understood. We present the case of a 65-year-old male with chronic spinal cord injury who was found to have multiple vertebral compression fractures causing autonomic dysreflexia and new onset spasticity. This case illustrates the need for improved awareness, diagnosis, and prevention for this disease process.
摘要
骨质疏松症是脊髓损伤患者的已知并发症，可导致骨折风险增加和相关发病率增加。骨脱矿质最常见于损伤以下的长骨。发病机制复杂，尚未完全阐明。我们报告了一例 65 岁男性慢性脊髓损伤患者，发现有多发性椎体压缩性骨折导致自主神经反射亢进和新发性痉挛。该病例说明了需要提高对此疾病过程的认识、诊断和预防。
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