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使用微型咬骨钳切除1型分裂脊髓畸形（骨赘）

Split Cord Malformation Type 1 (Bony Spur) Excision Using Microrongeur.

作者信息

Muzumdar Dattatraya, Darji Hardik

机构信息

Department of Neurosurgery, Seth GS Medical College and King Edward VII Memorial Hospital, Parel, Mumbai 400012, India.

出版信息

J Pediatr Neurosci. 2020 Oct-Dec;15(4):349-351. doi: 10.4103/jpn.JPN_337_20. Epub 2021 Jan 19.

DOI:10.4103/jpn.JPN_337_20
PMID:33936296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8078636/
Abstract

Split cord malformation is well documented and reported in various case series and reports in the literature. The excision of bony spur in type 1 split cord malformation is challenging due to the intricate pathologic anatomy. The standard method advocated is to excise the bony spur with the help of a high-speed microdrill and a forward cutting punch. We describe a novel method of using fine-tipped slender microrongeur, which can negotiate the narrow confines harboring the bony spur and protect the adjacent hemicords. The surgical nuances are detailed and discussed.

摘要

脊髓纵裂畸形在各种病例系列和文献报道中都有充分的记录。1型脊髓纵裂畸形中骨嵴的切除具有挑战性，因为其病理解剖结构复杂。提倡的标准方法是在高速微型钻和向前切割冲头的帮助下切除骨嵴。我们描述了一种使用细尖细长微型咬骨钳的新方法，它可以在容纳骨嵴的狭窄区域操作并保护相邻的半脊髓。手术细节将详细阐述并讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f7d/8078636/c6c44aa77198/JPN-15-349-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f7d/8078636/788eb41dccd3/JPN-15-349-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f7d/8078636/c6c44aa77198/JPN-15-349-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f7d/8078636/788eb41dccd3/JPN-15-349-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f7d/8078636/c6c44aa77198/JPN-15-349-g002.jpg

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1
Split Cord Malformation Type 1 (Bony Spur) Excision Using Microrongeur.使用微型咬骨钳切除1型分裂脊髓畸形（骨赘）
J Pediatr Neurosci. 2020 Oct-Dec;15(4):349-351. doi: 10.4103/jpn.JPN_337_20. Epub 2021 Jan 19.
2
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本文引用的文献

1
Type 1 Split Cord Malformation: The Significance of the 3D Orientation of the Bony Spur, Its Clinical Relevance, and Surgical Nuances.1型分裂脊髓畸形：骨棘三维方向的意义、其临床相关性及手术细节
J Pediatr Neurosci. 2018 Oct-Dec;13(4):429-436. doi: 10.4103/JPN.JPN_71_18.
2
Split cord malformation - A study of 300 cases at AIIMS 1990-2006.脊髓纵裂畸形——全印度医学科学研究所1990年至2006年300例病例研究
J Pediatr Neurosci. 2011 Oct;6(Suppl 1):S41-5. doi: 10.4103/1817-1745.85708.
3
Split cord malformations: a clinical study of 254 patients and a proposal for a new clinical-imaging classification.
脊髓纵裂畸形：254例患者的临床研究及一种新的临床影像学分类建议
J Neurosurg. 2005 Dec;103(6 Suppl):531-6. doi: 10.3171/ped.2005.103.6.0531.
4
Split cord malformation: Part I: A unified theory of embryogenesis for double spinal cord malformations.脊髓纵裂畸形：第一部分：双脊髓畸形胚胎发生的统一理论。
Neurosurgery. 1992 Sep;31(3):451-80. doi: 10.1227/00006123-199209000-00010.