文章简介

出版社:Spine J.

作   者:Murata Y, Kanaya K, Wada H, Wada K, Shiba M, Kato Y

编   号:10.1016/j.spinee.2014.02.031.

年   份:2014    点击量:691

文章摘要 全文翻译

BACKGROUND CONTEXT:

        A few reports have addressed tethered cord syndrome. Detethering surgery has been performed in these cases because abnormal tension on the spinal cord causes neurologic and urologic symptoms.

背景资料:

        一些报道描述了脊髓栓系综合征。这些由于脊髓上的异常张力导致的神经系统和泌尿系统症状的脊髓栓系综合征患者,通过松解术完成减压。

PURPOSE:

        To discuss the surgical treatment of tethered cord syndrome with the belief that the tension on the cord can be decreased by shifting tethered cord to the dorsal side.

目的:

        讨论脊髓栓系综合征的手术治疗,探讨是否可以通过向背侧漂移栓系的脊髓来减少其张力。

STUDY DESIGN:

        A patient with tethered cord syndrome was surgically treated by shifting the tethered cord to the dorsal side by harnessing the lumbar lordosis instead of detethering.

研究设计:

        利用腰椎前凸代替松解术,一例脊髓栓系综合征患者通过手术向背侧移动栓系的脊髓获得治疗。

METHODS:

        We performed surgery to shift the tethered cord to the dorsal side by harnessing the lumbar lordosis to decrease the tension on the spinal cord.

方法:

        我们通过利用腰椎前凸来减少脊髓张力,实现将栓系的脊髓向背侧偏移。

RESULTS:

        The tethered cord that was pressed to the ventral side because of a lipoma was shifted dorsally by laminectomy and opening of the dural sac. Pain and numbness were alleviated immediately after surgery.

结果:

        由于一脂肪瘤通过椎板切除术和硬膜囊开口压迫并栓系脊髓,将其压向腹侧。术后疼痛和麻木立即得到缓解。

CONCLUSIONS:

        The method used in the present case, that is, shifting the tethered cord and lipoma to the dorsal side by harnessing the lumbar lordosis instead of detethering, is a viable treatment option for tethered cord syndrome.

结论:

        这个病例中使用的方法就是通过利用腰椎前凸代替松解术来使栓系的脊髓和脂肪瘤漂移至背侧,这对于脊髓栓系综合征是一个可行的治疗方案。