SYRINGOMYELIA AND DEVELOPMENTAL SCOLIOSIS
SYRINGOMYELIA AND DEVELOPMENTAL SCOLIOSIS
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DOI：
10.1097/01241398-199409000-00005
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发表时间：
1994-09-01
影响因子：
1.7
通讯作者：
MACEWEN, GD
中科院分区：
文献类型：
--
作者：
TOMLINSON, RJ;WOLFE, MW;MACEWEN, GD
我们试图将脊柱侧凸患者的体征和症状描述为隐匿性脊髓空洞症的表现，并确定空洞减压术对畸形和神经功能缺损的影响。本研究代表了作者所在机构从1981年至1991年治疗的21例患者。所有患有隐匿性脊髓空洞症且无其他中枢神经系统病变的患者均接受了空洞减压术，神经系统体征和症状均得到改善。4例未接受关节融合术治疗的脊柱侧凸患者中有3例在平均35个月的随访中显示出畸形改善。在平均21个月的随访中，5名患有脊髓发育不良、隐匿性脊髓炎和脊柱侧凸的患者中有3名既往未接受脊柱关节融合术治疗，显示其畸形稳定或改善。我们的结论是脊髓空洞症与发育性脊柱侧凸的高发病率相关，并且脊髓空洞减压导致大多数脊柱侧凸曲线的改善或稳定，或推迟融合的需要。
We attempted to characterize the signs and symptoms of patients presenting with scoliosis as a manifestation of occult syringomyelia, and to determine the effect of syrinx decompression on the deformity and neurologic deficits. This study represented 21 patients treated from 1981 through 1991 at the authors' institution. All patients with occult syringomyelia and no other central nervous system lesions underwent decompression of the syrinx, with improvement in neurologic signs and symptoms. Three of the four with scoliosis that were not treated by arthrodesis showed improvement of their deformity at an average follow-up of 35 months. Three of five patients with myelodysplasia, occult syringomyelia, and scoliosis not previously treated with spinal arthrodesis showed stabilization or improvement of their deformity at an average follow-up of 21 months. We conclude that syringomyelia is associated with a high incidence of developmental scoliosis, and that decompression of the syrinx leads to improvement in, or stabilization of, the majority of scoliotic curves, or postpones the need for fusion.