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一名因脊柱后凸侧弯而佩戴波士顿支具治疗的儿童发生自发性胸骨骨折。病例报告及文献复习。

Spontaneous fracture of the sternum in a child being treated in a Boston brace for kyphoscoliosis. A case report and review of the literature.

作者信息

Korovessis P, Sdougos G, Dimas T

机构信息

Orthopaedic Department, General Hospital Agios Andreas, Patras, Greece.

出版信息

Eur Spine J. 1994;3(2):112-4. doi: 10.1007/BF02221450.

DOI:10.1007/BF02221450
PMID:7874547
Abstract

We report a child who suffered from short stature of unknown aetiology and rigid thoracolumbar kyphoscoliosis and developed a symptomatic spontaneous fracture of the sternum while being treated in a Boston brace. Modification of the brace was followed by uneventful healing of the sternal fracture. To our knowledge no mention has been previously made of this extremely rare complication, but the spine surgeon who treats complex spinal deformities in early childhood with braces should be aware of this potential complication, particularly if they are associated with rigid rotational kyphosis.

摘要

我们报告了一名病因不明的身材矮小且患有僵硬性胸腰椎脊柱侧凸后凸畸形的儿童,该患儿在使用波士顿支具治疗期间发生了有症状的自发性胸骨骨折。对支具进行调整后,胸骨骨折顺利愈合。据我们所知,此前尚未提及这种极其罕见的并发症,但在幼儿期使用支具治疗复杂脊柱畸形的脊柱外科医生应意识到这种潜在并发症,尤其是当它们与僵硬性旋转后凸相关时。

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引用本文的文献

1
Treatment of middle-super thoracic fractures associated with the sternum fracture.与胸骨骨折相关的胸中段上部骨折的治疗
Int J Clin Exp Med. 2015 Jun 15;8(6):9751-7. eCollection 2015.

本文引用的文献

1
Spontaneous fracture of the sternum simulating myocardial infarction.酷似心肌梗死的胸骨自发性骨折。
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2
Surgical significance of sternal fracture.
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Kyphosis and fracture of the manubrium in tetanus; report of a case.破伤风患者的胸骨柄后凸畸形与骨折;病例报告
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Treatment of idiopathic scoliosis in the Milwaukee brace.密尔沃基支具治疗特发性脊柱侧弯
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Cervicodorsal injury presenting as sternal fracture.表现为胸骨骨折的颈胸段损伤。
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The derotating effect of the Boston brace: a comparison between computer tomography and a conventional method.波士顿支具的去旋转效果:计算机断层扫描与传统方法的比较。
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Initial correction with the Boston Thoracic Brace.使用波士顿胸腰骶椎矫形器进行初次矫正。
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8
The immediate effect of Boston brace on renal function in patients with idiopathic scoliosis.波士顿支具对特发性脊柱侧凸患者肾功能的即时影响。
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The Boston brace in thoracic scoliosis. A preliminary report.
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A fracture of the sternum in a child.一名儿童的胸骨骨折。
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