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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

Cord compression caused by multiple disc herniations and intraspinal cyst in Scheuermann's disease.

作者信息

Chiu K Y, Luk K D

机构信息

Department of Orthopaedic Surgery, University of Hong Kong, Queen Mary Hospital.

出版信息

Spine (Phila Pa 1976). 1995 May 1;20(9):1075-9. doi: 10.1097/00007632-199505000-00016.

DOI:10.1097/00007632-199505000-00016
PMID:7631238
Abstract

STUDY DESIGN

The design for this article is a case report.

OBJECTIVES

Reported is the case of a patient with Scheuermann's disease who experienced spastic paraparesis caused by multilevel disc herniations and intraspinal meningeal cyst occurring together.

SUMMARY OF BACKGROUND DATA

Although Scheuermann's disease is associated with disc degeneration and calcification, multilevel disc herniations causing neurologic deficit is exceedingly rare.

METHODS

A patient diagnosed with Scheuermann's disease was evaluated by laboratory tests and radiographs because of paresthesin in bilateral lower extremities.

RESULTS

Evaluation revealed a "cyst" that was separated from the proper subarachnoid space and a disc herniation.

CONCLUSIONS

Intraspinal cyst and multilevel disc herniations could coexist in Scheuermann's disease. Both could contribute to cord compression. Drainage of the cyst, anterior decompression of the disc herniations, and interbody fusion to stabilize the diseased segments produced good results after 2 years.

摘要

研究设计

本文的设计为病例报告。

目的

报告一例患有休门氏病的患者,其同时出现多节段椎间盘突出和椎管内脊膜囊肿导致痉挛性截瘫的病例。

背景资料总结

尽管休门氏病与椎间盘退变和钙化有关,但导致神经功能缺损的多节段椎间盘突出极为罕见。

方法

一名被诊断为休门氏病的患者因双侧下肢感觉异常接受了实验室检查和X光片检查。

结果

评估发现一个与蛛网膜下腔不相通的“囊肿”和一处椎间盘突出。

结论

休门氏病可能同时存在椎管内囊肿和多节段椎间盘突出。两者均可导致脊髓受压。囊肿引流、椎间盘突出前路减压以及椎间融合以稳定病变节段,术后2年取得了良好效果。

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