Clinical manifestations and significance of post-traumatic thoracolumbar syringomyelia / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
;
(6): 52-55, 2004.
Artículo
en Inglés
| WPRIM
| ID: wpr-270279
ABSTRACT
<p><b>OBJECTIVE</b>To analyze the pathogenic mechanism and the clinical significance of post-traumatic thoracolumbar syringomyelia through reviewing the clinical manifestations.</p><p><b>METHODS</b>The data of 15 patients (14 males and 1 female, aged from 28 to 56 years, with an average of 36 years) with post-traumatic syringomyelia treated in our hospital from December 1997 to February 2002 were studied retrospectively. Two patients suffered from T11 fractures, 7 from T12 fractures and 6 from L1 fractures. There were 12 patients with burst fractures and 3 with fracture dislocations. Anterior decompression, bone graft, bone fusion and internal fixation were made on 6 patients, posterior decompression, bone graft, bone fusion and internal fixation on 1 patient, and non-surgical treatment on 8 patients.</p><p><b>RESULTS</b>Syringomyelia of the patients was diagnosed accurately with magnetic resonance imaging at 0.5-4 years after the original thoracolumbar fracture. The cavern was round in 6 cases, elliptic in 6 cases, and irregular in 3 cases. The patients also suffered from pain (80%), myodynamia attenuation in lower extremities (66.7%), aggravated spasm (46.7%), sensation loss or hypesthesia (46.7%), decreased coordinate function of lower extremities (20%) and autonomic nerve symptom (6.7%).</p><p><b>CONCLUSIONS</b>Post-traumatic thoracolumbar syringomyelia should be suspected if the patient has new neurological symptoms, such as myodynamia attenuation in lower extremities, after the neural function becomes stable for certain time.</p>
Texto completo:
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Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Fisiología
/
Fusión Vertebral
/
Cirugía General
/
Siringomielia
/
Vértebras Torácicas
/
Heridas y Lesiones
/
Imagen por Resonancia Magnética
/
Tomografía Computarizada por Rayos X
/
Estudios Retrospectivos
/
Muestreo
Tipo de estudio:
Estudio diagnóstico
/
Estudio de etiología
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Chinese Journal of Traumatology
Año:
2004
Tipo del documento:
Artículo
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