Wagle V G, Rossi A J, Roberts M P, Goldman R, Ziter F, Clark W E
Department of Neurosurgery, Radiology, and Pathology, Hartford Hospital, Connecticut.
Spine (Phila Pa 1976). 1993 Aug;18(10):1373-5. doi: 10.1097/00007632-199308000-00020.
We describe a case of thoracic myelopathy in a patient with renal osteodystrophy. The patient had chronic renal failure for longer than 20 years and had skeletal changes indicative of renal osteodystrophy, before the onset of myelopathy. Association between spinal stenosis and this entity has been documented only once before in the lumbar region. This is therefore the first case of thoracic myelopathy due to severe stenosis in just one vertebra in a patient with renal osteodystrophy, which was documented by computed tomography as well as magnetic resonance imaging and proven by histopathology.
我们描述了一例患有肾性骨营养不良的患者出现胸段脊髓病的病例。该患者患有慢性肾衰竭超过20年,在脊髓病发作之前就有提示肾性骨营养不良的骨骼改变。脊髓狭窄与该病症之间的关联此前仅在腰椎区域有过一次记录。因此,这是首例因肾性骨营养不良患者单个椎体严重狭窄导致胸段脊髓病的病例,通过计算机断层扫描以及磁共振成像记录,并经组织病理学证实。