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頁籤選單縮合
題名 | Solitary Osteochondroma of the Lumbar Spine with Cord Compression: A Case Report=單一型骨軟骨瘤引起脊髓壓迫:一例報告 |
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作者 | 李柏成; 陳文哲; 杜元坤; 陳力輝; | 書刊名 | 長庚醫學 |
卷期 | 21:2 1998.06[民87.06] |
頁次 | 頁227-231 |
分類號 | 416.26 |
關鍵詞 | 骨軟骨瘤; 脊柱後側彎; Osteochondroma; Kyphoscoliosis; |
語文 | 英文(English) |
中文摘要 | 骨軟骨瘤是脊柱中罕見的腫瘤。源發脊柱的骨軟骨瘤通敘沒有症狀,有時甚至是 意外被發現的。但在很少數的病例中,會因為單一型骨軟骨瘤的產生而造成脊髓的壓迫。源 於脊柱的骨軟骨瘤如果造成脊髓腔內的壓迫就必須切除,而且癒後良好。然而,未成熟的脊 柱在經過腫瘤切除後,必須審慎評估其穩定性。我們相信,骨骼尚未發育成熟的病人,如果 在胸腰椎交界附近,因為腫瘤切除而施行過廣泛性的椎板切除術,他們就必須接受長典的追 蹤,以避免日後脊柱變形。對於持續惡化或者嚴重的脊柱變形者,施行脊柱融合術是必須的。 |
英文摘要 | Solitary osteochondromas are usually of little significance. However, if they are located near neurologic structures, they may cause irritation due to compression. Spinal cord compression is a rare but potentially catastrophic manifestation of solitary osteochondromas. As far as can be ascertained, a solitary osteochondroma in the lumbar region with spinal cord compression has not been reported in Taiwan. This article includes the treatment of an 11-year-old girl with osteochondromas which was complicated by the late development of kyphoscoliosis and a review of the literature. |
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