Asumu T O, Williamson B, Hughes D G
Department of Orthopaedic Surgery, Royal Manchester Children's Hospital, United Kingdom.
Spine (Phila Pa 1976). 1996 May 1;21(9):1082-4. doi: 10.1097/00007632-199605010-00018.
This case report describes a patient with associated vertebral and peripheral vascular malformations presenting with a painful scoliosis.
To treat the vertebral osseous lesion successfully with embolization.
Although vertebral vascular malformations are well described, the association with peripheral lesions is uncommon. When associated peripheral vascular malformations occur, they are usually in tissues derived from the same embryonic segment, which was not the case in this instance.
After investigation with angiography, this patient's vertebral osseous lesion was treated by embolization.
This patient's pain has been abolished since embolization. Her scoliosis has not progressed during follow-up.
This case illustrates the association between spinal and peripheral vascular malformations, and that this association is not always metameric. It highlights the fact that invasive procedures other than surgery are a valuable part of the therapeutic armamentarium.
本病例报告描述了一名伴有椎体和周围血管畸形并表现为疼痛性脊柱侧凸的患者。
通过栓塞成功治疗椎体骨病变。
虽然椎体血管畸形已有充分描述，但与周围病变相关的情况并不常见。当出现相关的周围血管畸形时，它们通常位于源自同一胚胎节段的组织中，本病例并非如此。
经血管造影检查后，对该患者的椎体骨病变进行了栓塞治疗。
自栓塞治疗后，该患者的疼痛消失。随访期间其脊柱侧凸未进展。
本病例说明了脊柱和周围血管畸形之间的关联，且这种关联并不总是按节段分布的。它突出了手术以外的侵入性操作是治疗手段中重要组成部分这一事实。
