摘要
作者对10例颈椎间盘钙化病例的临床表现、治疗及长期随诊结果进行了分析。男5例,女5例。年龄6～14岁,平均9.4岁。10例X线片发现11个颈椎间盘钙化,9例单发,1例为2个节段合并环枢椎半脱位。有2例间盘钙化突入椎管,侵占椎管面积大于50%,其均有神经根刺激症状,但无脊髓受压体征。8例在治疗后2周内症状消失,另2例在治疗后2个月缓解。8例随访1年以上,钙化影在2～8个月内消失。本病的特点为:(1)儿童期发病;(2)颈部的局部疼痛积和涉痛;(3)颈椎活动受限;(4)急、慢性炎症迹象;(5)影像学发现颈椎间盘钙化;(6)病程为自限性;(7)对症治疗效果满意,预后良好。
Eleven cervical intervertebral space calcifications were studied in ten children (5 boys, 5 girls) ,with mean age of 9.4 years. The aetiology,symptoms,roentgenographic clinic features were ana-lyzied. All ten patients showed evidence of calcification of the cervical intervertebral disc. One had calcifi-cation in two disc spaces of the cervical spine and associated with subluxation of C_(1.2). Two patients had calcification protruded into the spinal canal without symptoms of spinal cord compression. One had symptom of nerve root irritation. Eight of ten patients had symptoms which disappeared in two weeks after treatment. Eight patients had been followed over one year. The calcification disappeared from 2 to 8 months. The diagnostic criteria for the syndrome of this study are: (1)pediatric age group only; (2)local or referred pain ; (3)limited cervical spine motiion ; (4) evidence of inflammation ; (5) visible calcification of the cervercal intervertebral disc on roentgenogram; (6)self-limited course; (7)good result after con-servative treatment and gond orognosis.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1996年第4期197-200,共4页
Chinese Journal of Surgery
关键词
颈椎
椎间盘钙化
儿童
病例报告
症状
治疗
Cervical vertebrae Intervertebral disc Children Caleinosis
