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成骨不全症所致截瘫。一例报告。

Paraplegia in osteogenesis imperfecta. A case report.

作者信息

Ziv I, Rang M, Hoffman H J

出版信息

J Bone Joint Surg Br. 1983 Mar;65(2):184-5. doi: 10.1302/0301-620X.65B2.6826628.

DOI:10.1302/0301-620X.65B2.6826628
PMID:6826628
Abstract

Paraplegia occurred in an adolescent girl with osteogenesis imperfecta after chiropractic manipulation. The child had been able to walk freely out of doors. Complete motor paralysis with sensory sparing resulted due to anterior compression of the cord by spondyloptotic cervical vertebrae. Reconstructed computerised tomography was very helpful in demonstrating the abnormality. Anterior and then posterior decompression relieved the tethered spinal cord and were supplemented with bone grafting. Early diagnosis and surgical treatment will prevent similar neurological accidents.

摘要

一名患有成骨不全症的青春期女孩在接受脊椎按摩治疗后发生截瘫。该患儿此前能够自由出门行走。因脊柱滑脱性颈椎对脊髓的前方压迫,导致完全性运动麻痹但感觉保留。重建计算机断层扫描对显示异常情况非常有帮助。先行前路减压,然后后路减压,解除了脊髓栓系,并辅以植骨。早期诊断和手术治疗可预防类似的神经意外。

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J Can Chiropr Assoc. 2005 Sep;49(3):158-209.
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Cult Med Psychiatry. 1985 Dec;9(4):353-82. doi: 10.1007/BF00049230.