Characteristics of Osseous Septum of Split Cord Malformation in Patients Presenting with Scoliosis: A Retrospective Study of 48 Cases
Characteristics of Osseous Septum of Split Cord Malformation in Patients Presenting with Scoliosis: A Retrospective Study of 48 Cases
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脊柱侧凸患者脊髓劈裂畸形骨间隔特点：48例回顾性研究
DOI：
10.1159/000257523
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发表时间：
2009
影响因子：
0.7
通讯作者：
Peixin Wang
中科院分区：
文献类型：
--
作者：
Wenpeng Liu;Dong Zheng;Shao‐jie Cui;Chaoli Zhang;Yan Liu;Yunfeng Jia;Tiejun Shi;Hao Huang;Bo Hei;Peixin Wang
背景/目的：脊柱侧凸和脊髓劈裂畸形（SCM）并存是常见的。SCM的骨间隔的特征至今仍不清楚。在这里，我们试图描绘的结构和性质的骨隔。并对脊柱侧凸与脊髓型颈椎病的相关性进行了讨论。方法：对48例脊柱侧凸患者进行分析。随后在所有患者中发现了SCM。这些患者接受了手术，并进行了回顾性评价。结果：描述了骨隔的形态、成分、位置和性质。48例SCM中47例（98%）为I型。仅1例为II型。43例（90%）患者有1个骨性间隔。另5例（10%）有2个不同节段的骨间隔。41个（78%）以皮质骨为主，6个（11%）以松质骨为主，6个（11%）以骨和软组织混合为主。19例（36%）可见明显的中央血管。10个（19%）骨隔起源于神经弓。15个（28%）骨间隔来自椎体和神经弓。结论：我们认为SCM可能有助于脊柱侧凸的进展。建议在脊柱矫正手术前切除骨刺。
Background/Aims: The coexistence of scoliosis and split cord malformation (SCM) is often encountered. The characteristics of the osseous septum of SCM are still unknown to us. Here we try to delineate the configuration and nature of the osseous septa. The correlation between scoliosis and SCM is also discussed. Methods: 48 patients hospitalized for scoliosis were studied. SCM was subsequently identified in all of the patients. These patients underwent operations and were retrospectively evaluated. Results: The figuration, component, location and nature of osseous septa are described. 47 of the 48 SCMs (98%) were type I. Only 1 case was type II. 43 patients (90%) had 1 osseous septum. The other 5 patients (10%) had 2 osseous septa at different levels. 41 septa (78%) were mainly made of cortical bone, another 6 septa (11%) were mainly made of cancellous bone, while the other 6 (11%) were bone together with soft tissues. The prominent central blood vessels were found in 19 cases (36%). 10 osseous septa (19%) were derived from neural arches. 15 osseous septa (28%) were from both vertebral bodies and neural arches. Conclusion: We assumed that SCM might contribute to the progress of scoliosis. It is recommended that removal of the spur be carried out before corrective surgery on the spine.