CORD COMPRESSION CAUSED BY MULTIPLE DISC HERNIATIONS AND INTRASPINAL CYST IN SCHEUERMANNS-DISEASE

被引:24
作者
CHIU, KY
LUK, KDK
机构
[1] Department of Orthopaedic Surgery, The University of Hong Kong, Queen Mary Hospital
关键词
INTRASPINAL CYST; MULTIPLE DISC HERNIATIONS; SCHEUERMANNS DISEASE;
D O I
10.1097/00007632-199505000-00016
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design. The design for this article is a case report. Objectives. Reported is the case of a patient with Scheuermann's disease who experienced spastic paraparesis caused by multilevel disc herniations and intraspinal meningeal cyst occurring together. Summary of Background Data. Although Scheuermann's disease is associated with disc degeneration and calcification, multilevel disc herniations causing neurologic deficit is exceedingly rare. Methods. A patient diagnosed with Scheuermann's disease was evaluated by laboratory tests and radiographs because of paresthesin in bilateral lower extremities. Results. Evaluation revealed a ''cyst'' that was separated from the proper subarachnoid space and a disc herniation. Conclusions. Intraspinal cyst and multilevel disc herniations could coexist in Scheuermann's disease. Both could contribute to cord compression. Drainage of the cyst, anterior decompression of the disc herniations, and interbody fusion to stabilize the diseased segments produced good results after 2 years.
引用
收藏
页码:1075 / 1079
页数:5
相关论文
共 20 条
[1]  
Abbott K.H., Retter R.H., Protrusions of thoracic interver- tebral disks, Neurology, 6, pp. 1-10, (1956)
[2]  
Arce C.A., Dohrmann G.J., Thoracic disc herniation Improved diagnosis with computed tomographic scanning and a review of the literature, Surg Neurol, 23, pp. 356-361, (1985)
[3]  
Bhole R., Gilmer R.E., Two-level thoracic disc herniation, Clin Orthop, 190, pp. 129-131, (1984)
[4]  
Bradford D.S., Garcia A., Neurological complications in Scheuermann’s disease. A case report and review of the liter-ature, J Bone Joint Surg [Am], 51, pp. 567-572, (1969)
[5]  
Chin L.S., Black K.L., Hoff J.T., Multiple thoracic disc her-niations: Case report, J Neurosurg, 66, pp. 290-292, (1987)
[6]  
Cloward R.B., Bucy P.C., Spinal extradural cyst and kyphosis dorsalis juvenilis, Am J Roentgenol, 38, pp. 681-706, (1937)
[7]  
Coleman R.J., Hamlyn P.J., Butler P., Anterior spinal surgery for multiple thoracic disc herniations, Br J Neurosurg, 4, pp. 541-543, (1990)
[8]  
Iwasaki M., Okada K., Oka S., Thoracic myelopathy caused by two-level herniated thoracic discs in a patient with leprotic neuropathy. A case report, Spine, 18, pp. 401-404, (1993)
[9]  
Logue V., Thoracic intervertebral disc prolapse with spinal cord compression, J Neurol Neurosurg Psychiatry, 15, pp. 227-241, (1952)
[10]  
Peker S., Akkurt C., Ozean O.E., Multiple thoracic disc herniations, Acta Neurochir, 107, pp. 167-170, (1990)