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一名患有颈椎管狭窄(无骨折或脱位)且C2-C3融合的17岁儿童的创伤性脊髓病。病例报告。

Traumatic myelopathy in a seventeen-year-old child with cervical spinal stenosis (without fracture or dislocation) and a C2-C3 Klippel-Feil fusion. A case report.

作者信息

Epstein N E, Epstein J A, Zilkha A

出版信息

Spine (Phila Pa 1976). 1984 May-Jun;9(4):344-7. doi: 10.1097/00007632-198405000-00003.

DOI:10.1097/00007632-198405000-00003
PMID:6474247
Abstract

A 17-year-old white male patient sustained a cervical hyperextension injury while body surfing. Plain cervical radiographs, tomography, and CAT scan showed neither fracture nor subluxation, but congenital narrowing of the spinal canal and fusion of C2-C3 (Klippel-Feil). Clinically, he had a central cord syndrome, characterized by a motor dominant myelopathy. The conservative management of this patient with a central cord injury in the presence of spinal stenosis and a Klippel-Feil syndrome resulted in almost full recovery although he was quadriplegic initially. This constellation of findings rarely has been reported in adolescence.

摘要

一名17岁的白人男性患者在进行人体冲浪时颈部遭受过伸伤。颈椎X线平片、体层摄影和计算机断层扫描均未显示骨折或半脱位,但发现椎管先天性狭窄以及C2 - C3融合(克利佩尔-费尔综合征)。临床上,他患有中央脊髓综合征,其特征为以运动功能为主的脊髓病。尽管该患者最初为四肢瘫痪,但在存在椎管狭窄和克利佩尔-费尔综合征的情况下,对其中央脊髓损伤进行保守治疗后几乎完全康复。这一系列表现很少在青少年中被报道。

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Asian Spine J. 2014 Oct;8(5):615-23. doi: 10.4184/asj.2014.8.5.615. Epub 2014 Oct 18.
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