Ergün R, Okten A I, Beşkonakli E, Akdemir G, Taşkin Y
Department of Neurosurgery, Ankara Numune Hospital, Turkey.
Eur Spine J. 1997;6(4):267-9. doi: 10.1007/BF01322449.
Multiple hereditary osteochondromatosis is a genetically transmitted disorder consisting of multiple projections of bone capped by cartilage, which are called exostoses. Spinal cord compression due to expansion of a laminar osteochondroma is rare but well recognized. Surgical decompression usually improves the patient's neurological status but, in cervical exostosis, post-laminectomy kyphosis and instability problems, especially in the high-risk adolescent group, form the most significant potential difficulties in the postoperative period. We report a case of cervical laminar exostosis that was treated by anterior stabilization and fusion and discuss the benefits of this technique.
多发性遗传性骨软骨瘤病是一种遗传性疾病,由多个有软骨覆盖的骨突起组成,这些突起被称为外生骨疣。由于椎板骨软骨瘤扩大导致的脊髓压迫虽罕见但已得到充分认识。手术减压通常可改善患者的神经状态,但对于颈椎外生骨疣,椎板切除术后驼背和不稳定问题,尤其是在高危青少年群体中,是术后最显著的潜在困难。我们报告一例通过前路稳定和融合治疗的颈椎椎板外生骨疣病例,并讨论该技术的益处。