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多发性遗传性骨软骨瘤病中的颈椎椎板外生骨疣:预防不稳定的前路稳定与融合技术

Cervical laminar exostosis in multiple hereditary osteochondromatosis: anterior stabilization and fusion technique for preventing instability.

作者信息

Ergün R, Okten A I, Beşkonakli E, Akdemir G, Taşkin Y

机构信息

Department of Neurosurgery, Ankara Numune Hospital, Turkey.

出版信息

Eur Spine J. 1997;6(4):267-9. doi: 10.1007/BF01322449.

Abstract

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.

摘要

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。

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本文引用的文献

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Osteochondroma of the upper cervical spine. A case report.上颈椎骨软骨瘤。病例报告。
Spine (Phila Pa 1976). 1996 Feb 15;21(4):516-8. doi: 10.1097/00007632-199602150-00021.
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Chondrosarcoma arising in osteochondroma.骨软骨瘤恶变形成的软骨肉瘤。
Cancer. 1982 May 1;49(9):1890-7. doi: 10.1002/1097-0142(19820501)49:9<1890::aid-cncr2820490923>3.0.co;2-u.
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Exostosis as a cause of spinal cord compression.骨外生骨疣作为脊髓压迫的一个原因。
Surg Neurol. 1986 Dec;26(6):581-4. doi: 10.1016/0090-3019(86)90345-9.
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