首页|Gorham-Stout病合并脊柱畸形:1例报告和综述

Gorham-Stout病合并脊柱畸形:1例报告和综述

Gorham-Stout disease with spinal deformity:a case report and literature review

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Gorham-Stout病(Gorham-Stout disease,GSD)是特发性骨溶解症的一种,罕发脊柱受累.GSD的发病机制尚不明确,病程多变,诊断和治疗极具挑战性.当骨溶解引发病理性骨折、畸形时,及时进行手术干预可促进新骨形成,控制骨溶解进展.在本报道中,患者以多个腰椎骨溶解合并畸形为特征,接受了药物治疗以及3次手术干预.在末次手术时,病椎邻近软组织发生了浸润性破坏,严重的出血迫使笔者简化了手术方案.经过26个月的随访,患者的骨溶解得到了控制,脊柱畸形未再进展.多椎骨受累的GSD病具有很高的进展潜能,即便畸形较轻,一期长节段固定融合仍是较为稳妥的手术方式.此外,本文对相关文献进行综述.
Gorham-Stout disease(GSD)is a sort of idiopathic osteolysis disease,in which with involvement of spine is rare.The diag-nose and treatment of GSD are particular challenging as the pathological mechanism is currently unclear and the course of disease is vari-able.When the osteolysis has resulted in pathological fracture or deformity,early surgical intervention is able to facilitate new bone forma-tion and arrest the progression of osteolysis.In this paper,a patient who was characterized by multiple osteolysis of lumbar spine with defor-mity was treated by medication and three-time surgical interventions.During the last surgery,the soft tissues adjacent to the damaged verte-brae were diffusively destructed.The massive hemorrhage had forced us to simplify the surgical procedure.With a 26-month follow-up,we observed that the osteolysis and the deformity were halted.The progression potential is high in the GSD with multiple vertebrae involved.Even the deformity is mild,one-stage long-segmental fiixation and fusion remains a reliable choice.

Gorham-Stout diseaseidiopathic osteolysislymphangiomatosisspinal deformitysurgical intervention

张垚、宋继鹏、姚思远、丁立祥

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首都医科大学附属北京世纪坛医院,北京 100038

Gorham-Stout病 特发性骨溶解 淋巴管瘤病 脊柱畸形 手术干预

2024

中国矫形外科杂志
中国残疾人康复协会 中国人民解放军第八十八医院

中国矫形外科杂志

CSTPCD北大核心
影响因子:1.521
ISSN:1005-8478
年,卷(期):2024.32(15)