不同类型的骨切除术用于内巴克洛芬测试剂量给与脊髓融合的儿科患者:技术说明
Sunny Abdelmageed1,2, Nicole Villalba1,2, James Mossner2
1Division of Pediatric Neurosurgery, Ann and Robert H. Lurie Children's Hospital, Chicago, Illinois, USA.
Operative neurosurgery (Hagerstown, Md.)
|November 11, 2024
概括
对于患有脊柱融合和异型骨化症的儿科患者,异型骨切除术提供了一个可行的手术方法,用于在腰部穿刺是不可能的时,进行内巴克洛芬 (ITB) 测试剂量.
科学领域:
- 神经外科 神经外科
- 儿科整形外科 儿科整形外科
- 神经学 神经学
背景情况:
- 导管内巴克洛芬 (ITB) 可以治疗严重的儿科运动障碍,无法对医疗治疗做出反应.
- 试验剂量对于治疗选择至关重要,特别是在复杂的病例中.
- 对于ITB测试剂量的腰部穿刺,在脊髓融合后的腰部异型骨化患者中是禁忌的.
研究的目的:
- 描述一种新的手术技术,用于在患有脊柱融合和异型骨化症的儿科患者中给予ITB测试剂量.
- 在具有挑战性的儿科病例中证明异型骨切除术的可行性,以访问子arachnoid 空间.
主要方法:
- 一名患有脑和神经肌肉脊柱病的14岁女性接受了异型骨切除术.
- 这种程序促进了用于注射巴克洛芬试验剂量的脑下关节下部接入.
- 这种方法是必要的,因为之前的T3-骨盆脊柱融合导致腰椎异型骨化.
主要成果:
- 异型骨切除术使得ITB测试剂量的成功使用成为可能.
- 患者在测试剂量后经历了出色的临床结果.
- 该患者是长期ITB疗法的候选人.
结论:
- 在脊髓融合后的异型骨化不排除ITB试验剂量.
- 异型骨切除术是一种安全有效的手术替代方案,用于ITB测试剂量给儿科患者进行腰部穿刺的禁忌.
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