Mathieu J P, Decarie M, Dube J, Marton D
Chir Pediatr. 1982 Jan-Feb;23(1):29-35.
We wish to share our experience in the study of 69 cases of diastematomyelia in children. Our definition is very restrictive. There is an important female predominance noted (3.6:1) Patients usually consult for orthopedic problems. Skin lesions often associated with this condition, lead to radiological investigation, especially if there are also orthopedic and/or neurological problems. Neurological and sphingteral impairments were present mainly in our elderly patients. Myelogram with a liposoluble substance has been helpful in allowing us to propose surgery in most cases. Post-surgery complications are minimized if synthetic materials are avoided for duroplasty. Post-operative results are satisfactory and we recommend surgery for preventive more than curative reasons.
我们希望分享我们对69例儿童脊髓纵裂研究的经验。我们的定义非常严格。女性占比显著(3.6:1)。患者通常因骨科问题前来咨询。与这种情况常相关的皮肤病变会促使进行放射学检查,尤其是在同时存在骨科和/或神经问题时。神经和脊髓损伤主要出现在我们的老年患者中。使用脂溶性物质的脊髓造影有助于我们在大多数情况下建议进行手术。如果在硬脊膜成形术中避免使用合成材料,术后并发症可降至最低。术后结果令人满意,我们建议进行手术主要是出于预防而非治疗的原因。