Akbarnia B A, Rooholamini S A
J Bone Joint Surg Am. 1981 Sep;63(7):1146-55.
We are reporting the cases of five patients with scoliosis caused by a benign osteoblastoma of the thoracic or lumbar spine. All five patients had pain and scoliosis as the presenting symptoms, which had lasted from six months to two years. The average curve measurement was 49 degrees. Two patients were treated by excision of the lesion, posterior spine fusion, and Harrington instrumentation and three, by excision of the lesion only. At follow-ups ranging from two and one-half to five years after treatment (average, three years and eight months), no patient had pain or recurrence of the tumor. The scoliosis was improved in the three patients who had been symptomatic for nine months or less and who had undergone excision of the tumor. The scoliosis did not improve in the two patients whose symptoms had been present for longer periods of time.
我们报告了5例由胸腰椎良性骨母细胞瘤引起的脊柱侧弯病例。所有5例患者均以疼痛和脊柱侧弯为首发症状,症状持续6个月至2年。平均侧弯度数为49度。2例患者接受了病变切除、后路脊柱融合和哈灵顿器械固定治疗,3例仅接受了病变切除治疗。在治疗后2年半至5年的随访(平均3年8个月)中,没有患者出现疼痛或肿瘤复发。3例症状持续9个月或更短时间且接受了肿瘤切除的患者,其脊柱侧弯得到改善。而2例症状持续时间较长的患者,其脊柱侧弯没有改善。