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哈林顿器械棒导致的脊髓压迫:脊柱侧弯手术的一种晚期并发症。

Spinal cord compression caused by the rod of a Harrington instrumentation device: a late complication in scoliosis surgery.

作者信息

Krödel A, Rehmet J C, Hamburger C

机构信息

Orthopaedic Department, Ludwig Maximilians University Munich, Klinikum Grosshadem, Germany.

出版信息

Eur Spine J. 1997;6(3):208-10. doi: 10.1007/BF01301439.

DOI:10.1007/BF01301439
PMID:9258642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3454621/
Abstract

We report a unique complication caused by the rod of a Harrington instrumentation device, which resulted in spinal stenosis and myelopathy. A literature review revealed no previous causes of direct spinal cord impingement caused by the rod of a Harrington device. In this case, years after the initial operation, the rod penetrated the lamina at the junction between a thoracic and a lumbar curve, causing spinal stenosis and myelopathy. We conclude that regular control of the position of the device and awareness of possible late neurological complications are necessary to identify such complications as early as possible.

摘要

我们报告了一例由哈灵顿器械棒引起的独特并发症,该并发症导致了椎管狭窄和脊髓病。文献综述显示,此前并无由哈灵顿器械棒直接导致脊髓受压的病例。在该病例中,初次手术后数年,器械棒穿透了胸腰段交界处的椎板,导致了椎管狭窄和脊髓病。我们得出结论,定期检查器械位置并了解可能出现的迟发性神经并发症,对于尽早识别此类并发症很有必要。

相似文献

1
Spinal cord compression caused by the rod of a Harrington instrumentation device: a late complication in scoliosis surgery.哈林顿器械棒导致的脊髓压迫:脊柱侧弯手术的一种晚期并发症。
Eur Spine J. 1997;6(3):208-10. doi: 10.1007/BF01301439.
2
Migration of laminar hook causing thoracic myelopathy eight years post scoliosis surgery: a case report.
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3
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Benefits of the Harrington compression system in lumbar and thoracolumbar idiopathic scoliosis in adolescents and adults.哈灵顿加压系统在青少年及成人腰椎和胸腰段特发性脊柱侧凸治疗中的益处。
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Rate of complications in scoliosis surgery - a systematic review of the Pub Med literature.脊柱侧弯手术并发症发生率——对PubMed文献的系统评价
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本文引用的文献

1
Operative treatment of adolescent idiopathic thoracic scoliosis. Harrington-DTT versus Cotrel-Dubousset instrumentation.
Clin Orthop Relat Res. 1993 Dec(297):155-60.
2
Neurologic injury after insertion of laminar hooks during Cotrel-Dubousset instrumentation.在Cotrel-Dubousset器械置入过程中插入椎板钩后发生的神经损伤。
Spine (Phila Pa 1976). 1994 Jun 15;19(12):1402-5. doi: 10.1097/00007632-199406000-00017.
3
Bone overgrowth (hypertrophy) as a cause of late paraparesis after scoliosis fusion. A case report.骨过度生长(肥大)作为脊柱侧弯融合术后迟发性截瘫的一个原因。病例报告。
J Bone Joint Surg Am. 1981 Jul;63(6):1016-9.
4
Pseudarthrosis: a late cause of paraparesis after scoliosis surgery. A case report.假关节:脊柱侧弯手术后截瘫的晚期原因。病例报告。
J Bone Joint Surg Am. 1982 Oct;64(8):1246-8.
5
Late complications due to wire breakage in segmental spinal instrumentation. Report of two cases.
J Bone Joint Surg Am. 1983 Dec;65(9):1339-45.
6
Postoperative neurological deficits in segmental spinal instrumentation. A study using spinal cord monitoring.
J Bone Joint Surg Am. 1984 Oct;66(8):1178-87.
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Long-term follow-up of scoliosis fusion.脊柱侧弯融合术的长期随访
J Bone Joint Surg Am. 1980 Apr;62(3):364-76.
8
Segmental spinal instrumentation in idiopathic scoliosis. A preliminary report.特发性脊柱侧凸的节段性脊柱内固定:初步报告。
Spine (Phila Pa 1976). 1985 Sep;10(7):623-30. doi: 10.1097/00007632-198509000-00006.
9
Late results of Harrington's operation. Long-term evolution of the lumbar spine below the fused segments.哈林顿手术的远期结果。融合节段以下腰椎的长期演变。
Spine (Phila Pa 1976). 1985 Jun;10(5):414-20.
10
Delayed paraplegia complicating sublaminar segmental spinal instrumentation.椎板下节段性脊柱内固定术后并发迟发性截瘫
J Bone Joint Surg Am. 1986 Apr;68(4):556-63.