严重先天性胸椎融合术中的后柱松解和磁性生长棒延长术：两个病例的报告

Q4 Medicine JBJS case connector Pub Date : 2024-10-24 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.24.00256

Michael Trask, Jonathan T Yamaguchi, Gregory Redding, Burt Yaszay, Samuel Browd, Klane K White

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引用次数: 0

摘要

病例我们描述了对一名患有阿博特综合征的 3 岁女孩的严重多椎间先天性胸椎融合术的治疗情况，治疗方法包括后椎元切除、后柱截骨以及使用磁控生长棒（MCGR）进行渐进式牵引，并进行了 3 年随访。我们还描述了对一名 8 岁的贾乔-莱文综合征先天性胸椎融合患者进行类似治疗的短期随访情况：结论：对于先天性融合导致的严重胸椎发育不全综合症患儿，后椎骨元切除术和有针对性的后柱截骨术，结合 MCGR 的渐进牵引，是一种很有前景的治疗方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Posterior Column Release and Lengthening with a Magnetic Growing Rod Construct in Severe Congenital Thoracic Fusion: A Report of 2 Cases.

Case: We describe treatment of severe multilevel congenital thoracic fusion in a 3-year-old girl with Apert Syndrome by posterior element excision, posterior column osteotomies, and gradual distraction with magnetically controlled growing rods (MCGR) with 3-year follow-up. We also describe short-term follow-up with similar management in an 8-year-old patient with a congenitally fused thoracic spine from Jarcho-Levin syndrome.

Conclusion: Posterior element resection and targeted posterior column osteotomies combined with gradual distraction with MCGR offers a promising treatment course for children with severe thoracic insufficiency syndrome derived from congenital fusions.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.