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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.

DOI:10.1080/10790268.2020.1829421
PMID:33054643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9542342/
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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本文引用的文献

1
A Primary Care Provider's Guide to Bone Health in Spinal Cord-Related Paralysis.脊髓相关瘫痪患者骨骼健康的初级保健提供者指南
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Relationships between -scores at the hip and bone mineral density at the distal femur and proximal tibia in persons with spinal cord injury.关系-评分在臀部和骨密度在远端股骨和胫骨近端的人脊髓损伤。
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Effects of Teriparatide and Vibration on Bone Mass and Bone Strength in People with Bone Loss and Spinal Cord Injury: A Randomized, Controlled Trial.甲状旁腺素和振动对骨质疏松合并脊髓损伤患者骨量和骨强度的影响:一项随机对照试验。
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4
Vertebroplasty and Kyphoplasty for Osteoporotic Vertebral Fractures: What Are the Latest Data?经皮椎体成形术和后凸成形术治疗骨质疏松性椎体骨折:最新数据是什么?
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10
Denosumab for prevention of fractures in postmenopausal women with osteoporosis.地诺单抗预防绝经后骨质疏松症女性骨折
N Engl J Med. 2009 Aug 20;361(8):756-65. doi: 10.1056/NEJMoa0809493. Epub 2009 Aug 11.