脊柱骨纤维性结构不良的外科治疗:一项单中心回顾性研究Surgical treatment of spinal fibrous dysplasia: a single center retrospective study
徐启明;徐海荣;崔丽嘉;李远;单华超;黄真;马珂;牛晓辉;
摘要(Abstract):
目的:探讨如何为脊柱骨纤维性结构不良患者制定个性化的治疗方案,以减少对患者脊柱稳定性的破坏,同时降低复发。方法:回顾性分析1999年3月至2020年11月就诊于北京积水潭医院的脊柱骨纤维性结构不良患者的病例资料,收集患者的基本信息、术前脊髓功能评分、病灶定位、病理诊断、治疗方式、术后缓解情况等指标。结果:共纳入7例患者,其中男4例,女3例,年龄21~46岁,平均32.3岁。所有患者术后疼痛均获得缓解,3例具有神经症状的患者术后神经症状消失。未出现骨水泥渗漏或椎弓根螺钉松动。术后随访病灶无进展、症状无复发。结论:脊柱骨纤维性结构不良具有多样的临床表现。根据病情为每位患者提供个性化的治疗方案,有助于保护脊柱稳定性,并降低术后复发,增加患者获益。
关键词(KeyWords): 骨纤维性结构不良;椎体成形术;椎弓根螺钉固定术;自体骨融合术
基金项目(Foundation):
作者(Authors): 徐启明;徐海荣;崔丽嘉;李远;单华超;黄真;马珂;牛晓辉;
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