Hyperextension injuries of the thoracic spine in diffuse idiopathic skeletal hyperostosis. Report of four cases.
Hyperextension injuries of the thoracic spine in diffuse idiopathic skeletal hyperostosis. Report of four cases.
复制标题
弥漫性特发性骨骼骨质增生导致胸椎过度伸展损伤。
DOI：
10.2106/00004623-199402000-00010
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
F. Denis
中科院分区：
文献类型：
--
作者：
J. Burkus;F. Denis
4 例因弥漫性特发性骨骼肥厚而导致胸椎和腰椎多节段强直的患者持续过度伸展骨折脱位。患者的平均年龄为 64 岁（范围为 58 至 69 岁）；所有四名患者均为男性。所有损伤都发生在第七和第十一胸椎之间。所有患者入院时神经功能均完好。三名患者使用 Cotrel-Dubousset 节段器械进行后路脊柱关节融合术；一名患者使用模制胸腰骶矫形器进行非手术治疗。在最短二十二个月（平均二十七个月）的随访中，三名接受手术治疗的患者骨折愈合，脊柱解剖排列一致，并且没有术后并发症。一名使用支架进行非手术治疗的患者出现严重的神经功能恶化和脊柱的非解剖排列。
Four patients who had multisegmental ankylosis of the thoracic and lumbar spine due to diffuse idiopathic skeletal hyperostosis sustained a hyperextension fracture-dislocation. The patients had a mean age of sixty-four years (range, fifty-eight to sixty-nine years); all four patients were men. All injuries occurred between the seventh and eleventh thoracic vertebrae. All patients had intact neurological function at the time of admission to the hospital. Three patients were managed with posterior spinal arthrodesis with Cotrel-Dubousset segmental instrumentation; one patient was managed non-operatively with a molded thoracolumbosacral orthosis. At a minimum duration of follow-up of twenty-two months (mean, twenty-seven months), the three patients who had been managed operatively had healing of the fracture with anatomical alignment of the spine and without postoperative complications. The one patient who had been managed non-operatively with a brace had severe neurological deterioration and non-anatomical alignment of the spine.