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手术治疗伴有截瘫的软骨发育不全性侏儒症。

Surgical treatment of achondroplastic dwarfs with paraplegia.

作者信息

Shikata J, Yamamuro T, Iida H, Kono H, Mori E

机构信息

Department of Orthopedic Surgery, Kyoto City Hospital, Japan.

出版信息

Surg Neurol. 1988 Feb;29(2):125-30. doi: 10.1016/0090-3019(88)90069-9.

DOI:10.1016/0090-3019(88)90069-9
PMID:3336847
Abstract

A retrospective study was done to evaluate the results of surgical intervention on the neurological symptoms associated with achondroplastic dwarfs. Between 1971 and 1979, laminectomy was performed on three patients with thoracolumbar spinal canal stenosis associated with achondroplasia. Simultaneous spondylodesis using Harrington instrumentation in conjunction with extensive laminectomy was performed in the most recent case, and excellent results were obtained. We emphasize, therefore, that neurological deficit caused by kyphotic deformity and instability secondary to extensive laminectomy for achondroplasia can be prevented by this procedure, and thus good results can be anticipated.

摘要

进行了一项回顾性研究,以评估手术干预对软骨发育不全性侏儒相关神经症状的效果。1971年至1979年间,对3例伴有软骨发育不全的胸腰椎椎管狭窄患者实施了椎板切除术。在最近的病例中,采用哈灵顿器械进行了同时性脊柱融合术并结合广泛椎板切除术,取得了良好效果。因此,我们强调,通过该手术可以预防因软骨发育不全广泛椎板切除术后脊柱后凸畸形和不稳定导致的神经功能缺损,从而有望获得良好效果。

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1
Surgical treatment of achondroplastic dwarfs with paraplegia.手术治疗伴有截瘫的软骨发育不全性侏儒症。
Surg Neurol. 1988 Feb;29(2):125-30. doi: 10.1016/0090-3019(88)90069-9.
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Achondroplasia and lumbar spinal stenosis.软骨发育不全与腰椎管狭窄症。
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[A case of achondroplasia showing diffuse spinal canal stenosis].[一例显示弥漫性椎管狭窄的软骨发育不全病例]
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Thoracolumbosacral laminectomy in achondroplasia: long-term results in 22 patients.软骨发育不全患者的胸腰段及骶椎椎板切除术:22例患者的长期疗效
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Postlaminectomy kyphosis in an achondroplastic adolescent treated for spinal stenosis.一名接受脊柱狭窄治疗的软骨发育不全青少年患者术后发生椎板切除术后脊柱后凸。
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[An achondroplastic dwarf with paraplegia].[一名患有截瘫的软骨发育不全性侏儒症患者]
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引用本文的文献

1
Thoracolumbar stenosis and neurologic symptoms: Quantitative MRI in achondroplasia.胸腰椎狭窄和神经症状:软骨发育不全的定量 MRI。
J Neuroimaging. 2022 Sep;32(5):884-893. doi: 10.1111/jon.13015. Epub 2022 Jun 12.
2
Cauda equina compression in an achondroplastic dwarf. Is complex anterior and posterior surgical intervention necessary?软骨发育不全性侏儒的马尾神经受压。是否需要复杂的前后路手术干预?
Scoliosis. 2008 Dec 4;3:18. doi: 10.1186/1748-7161-3-18.
3
Review point of view on the treatment of fixed thoracolumbar kyphosis in immature achondroplastic patient.
关于未成熟软骨发育不全患者固定性胸腰椎后凸畸形治疗的综述观点
Eur Spine J. 2004 Aug;13(5):462-3. doi: 10.1007/s00586-003-0596-x.