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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.

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。

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