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Objective To present one adolescent case of cervical spinal eosinophilic granuloma, and to discuss the clinical characteristics, imaging features, differential diagnosis and treatment. Methods An 8-year-old adolescent was admitted to our clinic for neck pain and movement limitation after conservative treatment. Cervical imaging examinations revealed lytic bone lesions involving C3-4, C4-5, C5-6 vertebral bodies. Local tenderness was obvious. The biceps brachii muscle strength of the both upper limbs was weakened and the brachial plexus traction test results were positive. Conservative treatment failed. Anterior cervical spine decompression, bone graft fusion and internal fixation were performed. Results No recurrence was detected postoperatively. The internal fixation was removed 1 year postoperatively with satisfactory results. Conclusions Adolescent cervical spinal eosinophilic granuloma is not common and misdiagnosis may occur. Imaging and biopsy are the keys to its diagnosis. Surgical intervention shoul

作者:马绪彪;谢宇;谢伦利;刘洪;杨异;蒲丹

来源:中国骨与关节杂志 2018 年 7卷 6期

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| 浏览:138 | 下载:164
作者:
马绪彪;谢宇;谢伦利;刘洪;杨异;蒲丹
来源:
中国骨与关节杂志 2018 年 7卷 6期
标签:
嗜酸细胞肉芽肿 颈椎 骨疾病 外科手术 Eosinophilic granuloma Cervical vertebrae Bone diseases Surgical procedures operative
Objective To present one adolescent case of cervical spinal eosinophilic granuloma, and to discuss the clinical characteristics, imaging features, differential diagnosis and treatment. Methods An 8-year-old adolescent was admitted to our clinic for neck pain and movement limitation after conservative treatment. Cervical imaging examinations revealed lytic bone lesions involving C3-4, C4-5, C5-6 vertebral bodies. Local tenderness was obvious. The biceps brachii muscle strength of the both upper limbs was weakened and the brachial plexus traction test results were positive. Conservative treatment failed. Anterior cervical spine decompression, bone graft fusion and internal fixation were performed. Results No recurrence was detected postoperatively. The internal fixation was removed 1 year postoperatively with satisfactory results. Conclusions Adolescent cervical spinal eosinophilic granuloma is not common and misdiagnosis may occur. Imaging and biopsy are the keys to its diagnosis. Surgical intervention shoul