由于类固醇诱导的脊髓外周脂质瘤症导致的斜面不对齐的最小侵入性选择性减压:一个案例报告
Dustin J Kress1, Jason J Haselhuhn1, Ronin Joshua S Cosiquien2
1Department of Orthopedic Surgery, University of Minnesota, Minneapolis, Minnesota.
脊柱外周脂质病 (SEL) 是脊柱外周脂肪的过剩,可导致青少年严重的脊柱形. 手术减压改善了儿科患者的斜腰对齐和症状,在保守措施失败时提供了治疗选择.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 儿科整形外科 儿科整形外科
- 医学案例报告 病例报告
背景情况:
- 脊柱外周脂质瘤 (SEL) 的特点是脂肪组织在外周空间的过度积累.
- SEL偶尔与外源性类固醇使用有关,并且很少在儿科患者群体中记录.
- 严重的脊柱错位可能是SEL的结果,影响患者的移动性和神经功能.
研究的目的:
- 报告小儿科患者罕见的类固醇诱导SEL病例.
- 在一个15岁的女孩中描述了SEL继发的严重形位错位的管理和结果.
- 评估手术减压在解决SEL诱导的脊柱形的疗效.
主要方法:
- 一名15岁的女性患者呈现出严重的斜腰部不对齐.
- 这种不对齐是由于类固醇诱导的脊髓外周脂质增生,与心脏移植排斥免疫疗法相关.
- 患者经历了多层次的脊柱减压,没有融合或传统的变形纠正技术.
主要成果:
- 手术减压成功改善了患者的脊柱形和相关症状.
- 在手术后观察到形对齐的显著改善.
- 在两年后的后续评估中,积极的临床结果得到维持.
结论:
- 由脊柱外周脂质瘤引起的非结构性脊柱形可以通过手术减压有效地管理.
- 在没有广泛的融合的情况下,有限的减压可以为SEL诱导的脊柱形带来有利的结果.
- 这一案例强调了手术减压作为儿科SEL的可行治疗选择,当非手术治疗不足时.
更多相关视频
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
04:50A Minimally Invasive, Fast Spinal Cord Lateral Hemisection Technique for Modeling Open Spinal Cord Injuries in Rats
Published on: March 23, 2022
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Data Reporting and Recording
What is Natural Selection?
Types of Reports I: Hands-off Report
Following are the key components and categories of hand-off reports:
Purpose and Process:
Antibiotic Selection
Types of Reports II: Incident or Occurrence Report
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
