- 期刊
Surgical Management of Neurofibromatosis Scoliosis
神經纖維瘤性引發之脊椎側彎矯正
摘要
於1984年至90年間，作者共矯正五位因神經纖維瘤引發之脊椎側彎症病患。其年齡自14歲7個月至27歲(平均22歲)。男性3名，女性2名。側彎角度自30度至70度。而前後傾角度自負6度至120度。畸形在胸椎者有3例；在胸腰椎者2例。X光顯示骨質失調(dystrophic)型4位，正常者non-dystrphic型1位。三位dystrophic型之病人，做前後期矯正手術，並加脊椎固定器。另外兩位病人，則一次做完後方矯正及固定。所有病人之矯正結果，均令人滿意。其中一位病人，於手術後因伴發腹部之惡性腫瘤(malignant Schwannoma)而死亡。其他病人在追蹤期，均無明顯之角度改變，且無手術之併發症。
關鍵字
無資料並列摘要
Scoliosis associated with neurofibromatosis was corrected in five patients. Four of them were dystrophic in nature, while the other one was non-dystrophic. Three of the four dystrophic scoliosis had kyphotic and the other had lordotic deformities. Staged anterior release followed by posterior fusion and instrumentation has been done in the three patients with dystrophic scoliosis in order to get better correction and to reduce the risk of curve progression. The other two patients underwent one stage posterior correction. The coronal and sagittal deformities were satisfactorily corrected. One patient died of malignant schwannoma arising from the right retroperitoneal space six months after surgery. There was no surgical complication.
延伸閱讀
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