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强直性脊柱炎患者的症状性胸椎黄韧带骨化:病例报告及文献复习

Symptomatic thoracic ossification of the ligamentum flavum in a patient with ankylosing spondylitis: Report of a case and review.

作者信息

Rahimizadeh Abolfazl, Habibollahzadeh Parviz, Williamson Walter L, Soufiani Housain, Amirzadeh Mahan, Rahimizadeh Shaghayegh

机构信息

Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Surg Neurol Int. 2021 Dec 8;12:596. doi: 10.25259/SNI_1067_2021. eCollection 2021.

Abstract

BACKGROUND

Thoracic spinal cord compression due to both ankylosing spondylitis (AS) and ossification of the ligamentum flavum (OLF) is rare.

CASE DESCRIPTION

A 33-year-old male with AS presented with a paraparesis attributed to MR documented T9-T10 OLF/stenosis. He was successfully managed with a decompressive laminectomy; this resulted in marked improvement of his deficit.

CONCLUSION

Thoracic OLF and AS rarely contribute T9-T10 spinal cord compression that may be readily relieved with a decompressive laminectomy.

摘要

背景

强直性脊柱炎(AS)和黄韧带骨化(OLF)导致的胸段脊髓压迫较为罕见。

病例描述

一名33岁的AS男性患者因磁共振成像(MR)显示的T9 - T10节段OLF/狭窄出现双下肢轻瘫。他通过减压性椎板切除术成功得到治疗,其神经功能缺损有显著改善。

结论

胸段OLF和AS很少导致T9 - T10节段脊髓压迫,减压性椎板切除术可轻易缓解这种压迫。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25c8/8720453/8ca72414d4ba/SNI-12-596-g001.jpg

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