帕杰特病的脊椎表现:病例介绍和系统审查
Abdullah T Eissa1,2, Karlo M Pedro1,3, Andrew F Gao4,5
1Division of Neurosurgery, Krembil Neuroscience Centre, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
Brain & spine
|December 24, 2025
概括
面关节突囊瘤是帕杰特骨病 (PDB) 的罕见但重要的脊柱并发症. 本案例和综述强调它们在神经压缩中的作用,强调成像和手术规划,以有效管理.
科学领域:
- 整形外科 整形外科 整形外科
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 帕杰特骨病 (PDB) 是一种慢性骨疾病.
- 脊柱体表现如狭窄和压缩是已知的,但面关节突囊异常罕见.
- 在PDB中,这些囊的发病原因尚不清楚.
研究的目的:
- 在PDB患者中报告一个罕见的脊柱面关节突囊瘤病例.
- 审查与PDB相关的脊柱并发症的文献.
- 强调这些罕见囊的诊断和管理方面的考虑.
主要方法:
- 一个PDB患者的病例报告,因为L1-L2突囊出现了根性症状.
- 进行了手术减压和囊切除.
- 一个系统的文献综述 (PRISMA指南) 关于脊柱PDB并发症的10篇文章 (87名患者).
主要成果:
- 患者接受了成功的手术,神经功能得到改善.
- 常见的脊柱PDB并发症包括狭窄,骨折,带压缩,马尾综合征和缺陷.
- 在文献中只发现了一例与PDB相关的突囊的先例.
结论:
- 在脊椎PDB并发症的差异诊断中,应考虑面关节突囊,特别是神经压缩.
- 准确的成像和量身定制的手术策略对于管理这些复杂的病例至关重要.
- 这项研究强调了认识到PDB罕见表现的重要性.
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