巨大的化腰椎间盘在术后相邻段变性:一个病例报告
Harold Keyserling1, Yi Zhang2, Stephen Skirboll2
1Department of Radiology, VA Palo Alto Healthcare System, Palo Alto, CA and Stanford University School of Medicine, Stanford, CA, USA.
Journal of spine surgery (Hong Kong)
|October 15, 2025
概括
巨大的,化的磁盘是罕见的,特别是在手术后的腰椎. 本案例报告详细介绍了一个独特的腰部表现及其手术管理.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 脊柱成像 - 脊柱成像 - 脊柱成像
背景情况:
- 巨大的,化的磁盘是罕见的病症,通常在胸椎中见到.
- 这些位占据脊柱通道的40%以上,并与严重的症状有关.
- 它们在腰椎中发生,特别是在之前的手术后,人们对它们的理解很少.
研究的目的:
- 报告一个罕见的巨型,化椎间盘椎间盘的病例.
- 描述这种疾病的临床表现和管理.
- 为了突出其与相邻部分退行后手术的关联.
主要方法:
- 一个75岁的男性患者的病例报告,此前曾经接受过腰椎手术.
- 诊断成像包括腰椎MRI和CT扫描.
- 手术切除椎间盘片段. 椎间盘的手术切除.
主要成果:
- 患者呈现出渐进的双边下肢虚弱.
- 图像检测显示在L2-L3处有一个大而化的脊髓内质量,导致严重的侧侧静脉狭窄.
- 病理学证实了一个退化的圆盘,有化和骨碎片.
结论:
- 巨大的,化的磁盘可以在腰椎中发生,作为相邻的细分退化.
- 这一案例强调了椎间盘和化的动态性质.
- 在这种复杂的脊柱状况下,有效的手术管理至关重要.
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