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患有Morquio综合征儿童的颈椎后凸型脊髓病。

Cervical kyphotic myelopathy in a child with Morquio syndrome.

作者信息

Piccirilli C B, Chadduck W M

机构信息

Department of Neurosurgery, National Naval Medical Center, Bethesda, Maryland, USA.

出版信息

Childs Nerv Syst. 1996 Feb;12(2):114-6. doi: 10.1007/BF00819510.

DOI:10.1007/BF00819510
PMID:8674079
Abstract

A child with Morquio syndrome developed severe cervical kyphosis causing myelopathy. Decompression of the spinal cord was accomplished by an anterior approach using multilevel corpectomies and stabilization with calvarial bone grafts and halo immobilization. The case reported is unique in that cervical cord compression resulted from an uncommon degree of cervical kyphosis rather than the usual atlantoaxial instability seen in patients with Morquio syndrome. The operative procedure described shows another example of the usefulness of calvarial bone grafts for cervical spine fusions in children.

摘要

一名患有莫尔基奥综合征的儿童出现严重颈椎后凸并导致脊髓病。通过前路多级椎体次全切除术进行脊髓减压,并使用颅骨骨移植和头环固定进行稳定。所报道的病例具有独特性,即颈椎脊髓受压是由罕见程度的颈椎后凸引起,而非莫尔基奥综合征患者常见的寰枢椎不稳。所描述的手术过程展示了颅骨骨移植在儿童颈椎融合术中应用的又一个实例。

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本文引用的文献

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Use of full-thickness calvarial bone grafts for cervical spinal fusions in pediatric patients.全层颅骨骨移植在小儿颈椎融合术中的应用。
Pediatr Neurosurg. 1994;20(1):107-12. doi: 10.1159/000120773.
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CT metrizamide myelography of the cervical spine in Morquio syndrome.黏多糖贮积症Ⅳ型颈椎的CT脊髓造影
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3
Spinal cord compression in Morquio-Brailsford's disease.黏多糖贮积症Ⅳ型中的脊髓受压
黏多糖贮积症的脊柱受累:综述
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J Bone Joint Surg Am. 1985 Mar;67(3):371-5.
5
Clinical findings in 12 patients with MPS IV A (Morquio's disease). Further evidence for heterogeneity. Part III: Odontoid dysplasia.12例黏多糖贮积症IV A型(莫尔基奥氏病)患者的临床发现。关于异质性的进一步证据。第三部分:齿状突发育异常。
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6
The odontoid process in Morquio-Brailsford's disease. The effects of occipitocervical fusion.莫尔基奥 - 布雷斯福德病中的齿突。枕颈融合术的效果。
J Bone Joint Surg Br. 1991 Sep;73(5):851-8. doi: 10.1302/0301-620X.73B5.1910048.
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Transoral decompression and posterior stabilisation in Morquio's disease.莫尔基奥氏病的经口减压与后路稳定术
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8
Fusion for instability and potential instability of the cervical spine in children and adolescents.儿童和青少年颈椎不稳定及潜在不稳定的融合术
Orthop Clin North Am. 1978 Oct;9(4):923-43.
9
Dysplasia of the odontoid process in Morquio's syndrome causing quadriparesis.
J Bone Joint Surg Am. 1977 Apr;59(3):340-4.