TETHERED CORD SYNDROME IN MYELODYSPLASIA: CORRELATION BETWEEN LEVEL OF LESION AND HEIGHT AT TIME OF PRESENTATION

TETHERED CORD SYNDROME IN MYELODYSPLASIA: CORRELATION BETWEEN LEVEL OF LESION AND HEIGHT AT TIME OF PRESENTATION
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脊髓发育不良中的脊髓栓系综合征:病变程度与发病时身高之间的相关性

DOI:
10.1111/j.1469-8749.1992.tb11491.x
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发表时间:
1992
影响因子:
3.8
通讯作者:
M. Petersen
M. Petersen
中科院分区:
医学2区
文献类型:
--
作者:
M. Petersen

文献摘要

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本研究的目的是确定脊髓栓系综合征的发病是否与脊髓脊膜膨出(MMC)水平(骶骨、下腰椎、高腰椎或胸部)以及患者出现时的身高和年龄有关。在随访的163名患者中,18名接受了症状性脊髓栓系综合征的矫正手术。发病时的病变程度与身高和年龄高度相关。手术时各节段平均身高和年龄:腰椎134.5 cm,9.3岁;下腰椎:124 cm,9.9岁;高腰椎:108 cm,4.9岁;胸椎:92.4 cm,4.7岁。作者认为,MMC患者的感觉运动水平是预测脊髓栓系综合征相关症状发生的有用线索。
The purpose of this study was to determine whether the onset of tethered cord syndrome is related to the level of the myelomeningocele (MMC) (sacral, low lumbar, high lumbar or thoracic) and the height and age of the patient at time of presentation. Of 163 patients followed, 18 underwent corrective surgery for symptomatic tethered cord syndrome. The level of lesion at time of presentation correlated highly with height and age. The mean height and age for each level at the time of surgery were: sacral 134.5cm, 9.3 years; low lumbar: 124cm, 9.9 years; high lumbar: 108cm, 4.9 years; thoracic: 92.4cm, 4.7 years. The author concludes that the sensorimotor level of patients with MMC is a useful clue in predicting the onset of symptoms related to tethered cord syndrome.