Surgical Treatment of Scoliosis in Patients with Charcot-Marie-Tooth Disease

来源 :海南医学院学报 | 被引量 : 0次 | 上传用户:hbzjl001
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Objective: Apparently, scoliosis occurs in approximately one-third of patients with Charcot-Marie-Tooth disease. Little is known about the response of these curves to treatment. The purpose of this study was to evaluate the results of spinal surgery in these peculiar patients. Methods: We retrospectively evaluated the results of spinal surgery in eight patients who had scoliosis due to clinically and electrophysiologically proven Charcot-Marie-Tooth disease. Radiographs were reviewed. The location and direction of the curve pattern, the age at the time of surgery, type of surgery, number of levels fused, instrumentations used, intra or postoperative complications, and results and need for reoperation were recorded. Results: Eight patients associated with Charcot-Marie-Tooth disease who underwent scoliotic surgery were identified. The average age and curve at the time of surgery were 21.1 years and 56.4° respectively. 62.5% of the curves had left thoracic component and more than one third was associated with thoracic hyperkyphosis. Long posterior spinal fusion was performed most often, with an average of 11.5 spinal segments fused. Instrumentation was used in all posterior fusions. At an average of 39 months (range, 24 to 72 months) postoperatively, the fusion appeared to be solid in all patients. Conclusion: Scoliosis in patients with Charcot-Marie-Tooth disease differs from that in patients with idiopathic scoliosis in regarding to the etiology and the prevalence of thoracic hyperkyphosis, but the surgical management appears to be similar. Spondylodesis does not appear to be associated with a high rate of complications.
其他文献
目的:观察早期应用丙种球蛋白治疗婴儿百日咳样综合征的临床疗效。方法:收集2011年1月至2016年1月收治的54例百日咳样综合征患儿的临床资料,随机分为治疗组和对照组,每组均为
新世纪全国高等医药院校规划教材(中国中医药出版社出版,2005年8月第1版)目前正在我院使用,作为规划教材,其内容之严谨性、先进性与科学性是毋庸置疑的,但在教学使用过程中发
目的 探索流行性乙型脑炎更有效的治疗方法.方法 51例流行性乙型脑炎随机分为两组.治疗组27例,与对照组24例采取相同的综合治疗及护理方法,治疗组加用柴石退热颗粒,共治疗15d
目的 探讨骨折术后卧床患者出院前常规行彩色多普勒超声(color doppler flow imaging,CDFI)检查下肢深静脉血栓(DVT)的诊断价值及临床意义.方法 骨折术后卧床患者200例出院前
垂体瘤是神经外科中较为常见的原发颅内肿瘤,发病率仅次于脑膜瘤与胶质瘤,约占全部颅内肿瘤的11%,根据肿瘤细胞有无合成和分泌有生物活性激素的功能将垂体肿瘤分为功能性垂体
为探究吕家坨井田地质构造格局,根据钻孔勘探资料,采用分形理论和趋势面分析方法,研究了井田7
Primary liver cell carcinoma (PLCC) or Hepatocellular carcinoma (HCC) is the most common primary malignant liver tumor in Nigeria. It is a difficult problem in
目的:对多次单采血小板捐献者体内储存铁检测值进行分析,探讨不同献血周期对捐献者身体健康的影响.方法:选择各年龄多次单采血小板捐献者236名,其年龄、体格检查和血液检验均
Objective: To determine prevalence of depression in chronic respiratory disorders in a tertiary rural hospital of Central India. Various studies done in past ha
为探究吕家坨井田地质构造格局,根据钻孔勘探资料,采用分形理论和趋势面分析方法,研究了井田7