GORHAM DISEASE OF THE SPINE

被引：29

作者：

DREWRY, GR

SUTTERLIN, CE

MARTINEZ, CR

BRANTLEY, SG

机构：

[1] Department of Radiology, University of South Florida College of Medicine and Tampa General Hospital, Tampa, FL

[2] Department of Pathology, Tampa General Hospital, Gainesville, FL

来源：

SPINE | 1994年 / 19卷 / 19期

关键词：

GORHAM DISEASE; IDIOPATHIC MASSIVE OSTEOLYSIS; SPINAL FUSION; SPINE;

D O I：

10.1097/00007632-199410000-00017

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design. This is a case report of Gorham disease of the spine with review of the literature. Objective. To review the diagnosis, therapy, clinical course, and prognosis of Gorham disease of the spine. Summary of Background Data. This is the 17th reported case of spinal involvement by this rare type of idiopathic osteolysis. Methods. The patient was studied with radiographs, nuclear bone scans, computed tomography scans, magnetic resonance scans, and biopsies. His spine was stabilized by posterior and anterior rods, corpectomies, and bone grafts. Results. The patient's spine had remained stable for 22 months after surgery, but intractable chylothoraces and spreading bone destruction were present. Conclusions. Spinal Gorham disease has high morbidity and mortality, but the course in an individual patient is difficult to predict. Early spinal stabilization should be considered before irreversible neurologic complications occur.

引用

页码：2213 / 2222

页数：10

共 36 条

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