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休曼氏驼背与脊髓受压:病例报告

Scheuermann's dorsal kyphosis and spinal cord compression: case report.

作者信息

Klein D M, Weiss R L, Allen J E

出版信息

Neurosurgery. 1986 May;18(5):628-31. doi: 10.1227/00006123-198605000-00020.

DOI:10.1227/00006123-198605000-00020
PMID:3714013
Abstract

Although Scheuermann's disease (juvenile dorsal kyphosis) is a common problem of late childhood and adolescence, its potential for neurological complications is not widely appreciated. In rare instances, spinal cord compression appears to be produced by the kyphotic protrusion alone, and we present an example of this unusual problem. Although the results of surgical treatment in this situation cannot be substantiated, anterior spondylotomy and decompression followed by posterior fixation appear to offer the best mechanical relief. Spinal cord compression can also be produced by extradural cysts, with which Scheuermann's disease is frequently associated. Scheuermann's disease also is reported to occur in combination with thoracic disc protrusion, but the coincidence here may be random. Pertinent literature is reviewed.

摘要

尽管休曼病(青少年驼背)是儿童晚期和青少年期的常见问题,但其引发神经并发症的可能性并未得到广泛认识。在罕见情况下,脊髓压迫似乎仅由后凸畸形突出所致,我们在此展示这一罕见问题的一个病例。尽管这种情况下手术治疗的效果尚无确凿证据,但前路椎体切除术及减压术随后行后路固定似乎能提供最佳的力学缓解。硬膜外囊肿也可导致脊髓压迫,休曼病常与之相关。也有报道称休曼病与胸椎间盘突出同时发生,但这种巧合可能是偶然的。本文对相关文献进行了综述。

相似文献

1
Scheuermann's dorsal kyphosis and spinal cord compression: case report.休曼氏驼背与脊髓受压:病例报告
Neurosurgery. 1986 May;18(5):628-31. doi: 10.1227/00006123-198605000-00020.
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Spinal cord compression in Scheuermann's kyphosis: case report.
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Neurological complications in Scheuermann's disease. A case report and review of the literature.
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Progressive cord compression secondary to thoracic disc lesions in Scheuermann's kyphosis managed by posterolateral decompression, interbody fusion and pedicular fixation. A new approach to management of a rare clinical entity.
Eur Spine J. 1994;3(2):66-9. doi: 10.1007/BF02221442.
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Anterior spinal decompression and fusion for cervical flexion myelopathy in young patients.年轻患者颈椎前屈型脊髓病的前路减压融合术
J Neurosurg Spine. 2005 Aug;3(2):86-91. doi: 10.3171/spi.2005.3.2.0086.
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Thoracic cord compression caused by disk herniation in Scheuermann's disease: a case report and review of the literature.休门氏病椎间盘突出导致胸段脊髓受压:一例报告并文献复习
Eur Spine J. 2006 Oct;15 Suppl 5(Suppl 5):553-8. doi: 10.1007/s00586-005-0053-0. Epub 2006 Jan 19.
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Thoracic cord compression in Scheuermann's disease.
Spine (Phila Pa 1976). 1988 Aug;13(8):896-8. doi: 10.1097/00007632-198808000-00004.
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Transient paraparesis: a complication of the surgical management of Scheuermann's kyphosis secondary to thoracic stenosis.短暂性轻截瘫:继发于胸椎狭窄的休门氏后凸畸形手术治疗的一种并发症。
Spine (Phila Pa 1976). 2001 May 1;26(9):1086-9. doi: 10.1097/00007632-200105010-00021.
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Herniation of thoracic intervertebral discs with spinal cord compression in kyphosis dorsalis juvenilis (Scheuermann's disease); case report.青少年驼背(休曼氏病)合并胸椎间盘突出伴脊髓受压;病例报告
J Neurosurg. 1954 May;11(3):327-9. doi: 10.3171/jns.1954.11.3.0327.
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Cord compression caused by multiple disc herniations and intraspinal cyst in Scheuermann's disease.休门氏病中多节段椎间盘突出和椎管内囊肿导致的脊髓受压
Spine (Phila Pa 1976). 1995 May 1;20(9):1075-9. doi: 10.1097/00007632-199505000-00016.

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Mechanical spinal cord compression at the apex of a kyphosis: a propos of one case. Review of the literature.脊柱后凸顶点处的脊髓机械性压迫:附1例报告并文献复习
Eur Spine J. 2009 Jul;18 Suppl 2(Suppl 2):160-4. doi: 10.1007/s00586-008-0733-7. Epub 2008 Aug 20.
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Thoracic cord compression caused by disk herniation in Scheuermann's disease: a case report and review of the literature.
休门氏病椎间盘突出导致胸段脊髓受压:一例报告并文献复习
Eur Spine J. 2006 Oct;15 Suppl 5(Suppl 5):553-8. doi: 10.1007/s00586-005-0053-0. Epub 2006 Jan 19.