一个患有Klippel-Feil综合征的患者的宫盘关节整形失败:一个病例报告
Phillip Alexeev1, Ryan Snowden2
1Thomas F. Frist, Jr. College of Medicine, Belmont University, Nashville, Tennessee.
JBJS case connector
|August 22, 2025
概括
在Klippel-Feil综合征 (KFS) 患者的宫椎间盘整形术 (CDA) 早期失败,需要对前宫椎间盘切除和融合 (ACDF) 进行修订. 这突显了KFS运动维护手术的风险.
科学领域:
- 神经外科
- 脊椎手术
- 整形医学
背景情况:
- 由于先天性宫融合,Klippel-Feil综合征 (KFS) 对脊椎手术提出了独特的挑战.
- 宫椎间盘关节整形 (CDA) 是一种保持运动的选择,但其在KFS中的有效性尚未得到充分证实.
- 在KFS中,当保守的治疗失败时,通常需要进行手术.
研究的目的:
- 报告一个Klippel-Feil综合征 (KFS) 病例,该病例的子宫根病是用椎关节整形术 (CDA) 治疗的.
- 评估KFS患者的CDA结果以及随后的修复手术的需要.
- 讨论运动维护手术在先天性宫异常中的含义.
主要方法:
- 一名26岁的女性患有Klippel-Feil综合征 (KFS) 类型III和C5-6根性病变,接受了椎关节整形手术 (CDA).
- 症状在CDA后11个月复发,尽管没有植入失败或相邻的细分病.
- 进行了前椎间盘切除和融合 (ACDF) 的修复手术.
主要成果:
- 在CDA后,最初的症状有所改善,随后出现复发.
- 没有观察到CDA植入物或相邻部分疾病的机械故障.
- 对ACDF的修订导致了根性病症症状的完全消失.
结论:
- 在这个Klippel-Feil综合征 (KFS) 患者中,发生了椎关节整形术 (CDA) 的早期失败.
- 通过前椎间盘切除和融合 (ACDF) 进行了成功的修复.
- 在KFS的运动维护手术带来不确定的结果, 需要谨慎和进一步的调查.
相关概念视频
Herniated Intervertebral Disc l: Introduction
40
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
40
Degenerative Disc Disease I: Introduction
29
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
29
Degenerative Disc Disease ll: Pathophysiology
30
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...
30

