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Войти в исследования Spinal cord · 2008
Progressive spastic paraplegia: the combination of Scheuermann's disease, a short-segmented kyphosis and dysplastic thoracic spinous processes.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Putz C, Stierle I, Grieser T, Mohr G, Gerner H J, Fürstenberg C H, Wiedenhöfer B
Аннотация
STUDY DESIGN: Case report.
OBJECTIVE: To describe a rare case of paraplegia in a patient with Scheuermann's disease and dysplastic thoracic spinous processes.
SETTING: Spinal Cord Injury Center, Orthopaedic University Hospital Heidelberg, Heidelberg, Germany.
CLINICAL PRESENTATION: The authors report on a 15-year-old boy with progressive incomplete spastic paraplegia presenting segmental dysplastic thoracic spinous processes and Scheuermann's disease. The magnetic resonance imaging showed a kyphotic angulation at T 5/6 and signs of myelopathy. Hypoplastic thoracic processes and hypoplastic paraspinal muscles in the upper thoracic spine were observed intraoperatively. In this case, dorsoventral stabilization from T 4-7 was performed and the neurological outcome improved at follow-up (6 months).
CONCLUSION: Paraplegia can be accelerated in patients with Scheuermann's disease, severe kyphotic angulation and dysplastic posterior elements. After operative treatment, neurological recovery and a normal walking pattern were shown.
OBJECTIVE: To describe a rare case of paraplegia in a patient with Scheuermann's disease and dysplastic thoracic spinous processes.
SETTING: Spinal Cord Injury Center, Orthopaedic University Hospital Heidelberg, Heidelberg, Germany.
CLINICAL PRESENTATION: The authors report on a 15-year-old boy with progressive incomplete spastic paraplegia presenting segmental dysplastic thoracic spinous processes and Scheuermann's disease. The magnetic resonance imaging showed a kyphotic angulation at T 5/6 and signs of myelopathy. Hypoplastic thoracic processes and hypoplastic paraspinal muscles in the upper thoracic spine were observed intraoperatively. In this case, dorsoventral stabilization from T 4-7 was performed and the neurological outcome improved at follow-up (6 months).
CONCLUSION: Paraplegia can be accelerated in patients with Scheuermann's disease, severe kyphotic angulation and dysplastic posterior elements. After operative treatment, neurological recovery and a normal walking pattern were shown.