Surgical treatment for idiopathic intervertebral disc calcification in a child: case report and review of the literature.
Childs Nerv Syst
; 31(1): 123-7, 2015 Jan.
Article
em En
| MEDLINE
| ID: mdl-25192983
ABSTRACT
PURPOSE:
Intervertebral disc calcification (IDC) is rare in children. Conservative treatment has been recommended for the majority of cases. We describe surgical treatment of a case of IDC with progressive neurological impairment and review the literature relevant to this rare entity and its management.METHODS:
A 16-year-old boy presented with sudden onset of severe neck pain, radiating into his left shoulder. Three months later, he developed neurological symptoms and signs with a progressive motor and sensory loss of his left upper limb.RESULTS:
Anterior cervical corpectomy with fusion and instrumentation was performed. Neurologic deficits completely resolved within 1 week. After 1-year follow-up, radiological images showed solid fusion and no further compression.CONCLUSION:
Surgical decompression should be recommended for cases with acutely progressive and severe neurological impairments in IDC and a good result can be obtained. When surgery is needed, anterior decompression is usually used in cervical lesion, while in thoracic and lumbar area, posterior approach is suggested.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Calcinose
/
Descompressão Cirúrgica
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Degeneração do Disco Intervertebral
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Disco Intervertebral
Limite:
Adolescent
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article