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手足徐动型脑瘫继发的颈神经根病或脊髓病

Cervical radiculopathy or myelopathy secondary to athetoid cerebral palsy.

作者信息

Fuji T, Yonenobu K, Fujiwara K, Yamashita K, Ebara S, Ono K, Okada K

出版信息

J Bone Joint Surg Am. 1987 Jul;69(6):815-21.

PMID:3597493
Abstract

Radiculopathy or myelopathy often occurs during adult life in patients who have athetosis. Herniation of an intervertebral disc, spondylosis, malalignment or instability of the cervical spine, or a combination of these lesions, can develop because of the athetoid hyperactivity. We reviewed the cases of ten patients who had cervical radiculopathy or myelopathy, or both, secondary to athetosis and who were surgically treated between the ages of thirty and fifty-eight years. The surgery consisted of discectomy, removal of osteophytes, and anterior interbody fusion. When several segments were involved, an extensive subtotal resection of the vertebrae and discs, followed by strut bone-grafting, was done.

摘要

痉挛性双侧瘫痪患者在成年期常发生神经根病或脊髓病。由于手足徐动症的多动,可出现椎间盘突出、颈椎病、颈椎排列不齐或不稳定,或这些病变的组合。我们回顾了10例因手足徐动症继发颈椎神经根病或脊髓病或两者皆有的患者病例,这些患者在30至58岁之间接受了手术治疗。手术包括椎间盘切除术、骨赘切除术和前路椎间融合术。当多个节段受累时,进行广泛的椎体和椎间盘次全切除,随后进行支撑骨移植。

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