伯托洛蒂综合征:中年三项运动员的手术治疗-一个病例报告
Julia Mahler1, Alex Alfieri1,2
1Neurosurgery, Cantonal Hospital of Winterthur, 8400 Winterthur, Switzerland.
Healthcare (Basel, Switzerland)
|July 29, 2025
概括
伯托洛蒂综合征是由过渡性脊椎引起的腰部疼痛的原因,可以影响所有年龄段的人. 在保守治疗失败后,微手术缩小扩大横截的过程为三项运动员提供了显著的疼痛缓解.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 疼痛管理 疼痛管理
- 整形外科 整形外科 整形外科
背景情况:
- 伯托洛蒂综合征涉及一个疼痛的腰部神经过渡脊椎 (LSTV) 与伪articulation.
- 它通常在年轻人中被诊断出来,但在老年人群中可能被诊断不足.
- 治疗选择范围从保守措施到手术干预.
研究的目的:
- 为了说明伯托洛蒂综合征在中年运动员中的诊断和治疗挑战.
- 为了评估微手术干预对反复性伯托洛蒂综合征的疗效.
主要方法:
- 一名48岁的女性三项运动员因伯托洛蒂综合征而患有持续的关节疼痛,接受了治疗.
- 包括理疗,透,热凝固和射频剥离在内的保守治疗没有成功.
- 进行了超大变形横向过程的微创手术缩小.
主要成果:
- 患者在手术后的一年内至少有70%的疼痛缓解.
- 手术干预使患者能够恢复她的运动活动.
- 该案例突显了当保守措施失败时,成功的外科手术管理的潜力.
结论:
- 伯托洛蒂综合征应考虑在所有年龄组的患者.
- 鉴于长期误诊的可能性,及时诊断和适当的治疗至关重要.
- 对于持久的病例,手术选择,如切除术或脊髓融合,需要考虑.
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