Takano Hiromitsu, Yonezawa Ikuho, Okuda Takatoshi, Kajihara Hajime, Kaneko Kazuo
Department of Orthopedic Surgery, Koto Hospital, 6-8-5 Ojima, Koto-ku, Tokyo 136-0072, Japan.
Department of Orthopedic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
Case Rep Orthop. 2020 Nov 23;2020:8857463. doi: 10.1155/2020/8857463. eCollection 2020.
We report a case of scoliosis in a 12-year-old girl with Shprintzen-Goldberg syndrome. She was diagnosed with Shprintzen-Goldberg syndrome at birth. She was hospitalized for a surgical treatment because scoliosis gradually progressed. Preoperative X-ray confirmed 80° symptomatic scoliosis in T10-L5. Posterior correction and fusion were performed, and postoperative X-ray showed a correction to 43°in T10-L5. Limited subcutaneous tissues and fragile bones must be considered when selecting the appropriate surgical method. Accurate placement of a screw into thin pedicle is essential to obtain sufficient correction and fusion. The use of a navigation system is recommended.
我们报告了一例患有施普林曾-戈德堡综合征的12岁女孩的脊柱侧弯病例。她出生时被诊断为施普林曾-戈德堡综合征。由于脊柱侧弯逐渐进展,她因手术治疗而住院。术前X线检查证实T10-L5节段有80°的症状性脊柱侧弯。进行了后路矫正和融合手术,术后X线显示T10-L5节段矫正至43°。在选择合适的手术方法时,必须考虑皮下组织有限和骨骼脆弱的情况。将螺钉准确置入薄椎弓根对于获得足够的矫正和融合至关重要。建议使用导航系统。