Mesh : Humans Male Adolescent Osteotomy / methods Ischium / injuries surgery Pressure Ulcer / surgery etiology Spinal Fusion / methods Cerebral Palsy / surgery complications Scoliosis / surgery Ilium / surgery

来  源:   DOI:10.2106/JBJS.CC.23.00557

Abstract:
METHODS: A 17-year-old adolescent boy with Gross Motor Function Classification System 5 cerebral palsy and neuromuscular scoliosis underwent posterior spinal fusion and segmental spinal instrumentation from T3 to the pelvis. He developed a right ischial pressure injury a few months postoperatively, which persisted despite nonoperative measures. He subsequently underwent an ipsilateral transiliac-shortening osteotomy 16 months after spinal surgery to treat his residual pelvic obliquity and the ischial pressure injury, which healed completely. At the 1-year follow-up visit, there were no further signs of pressure injury.
CONCLUSIONS: This case report describes transiliac-shortening osteotomy as a viable treatment option for non-healing ischial pressure injuries secondary to fixed pelvic obliquity.
摘要:
方法:一名患有粗大运动功能分类系统5脑瘫和神经肌肉脊柱侧凸的17岁青少年男孩接受了从T3到骨盆的后路脊柱融合术和节段性脊柱器械。术后几个月他出现了右坐骨压迫伤,尽管采取了非手术措施,但仍然存在。随后,他在脊柱手术后16个月接受了同侧短肢截骨术,以治疗残留的骨盆倾斜和坐骨压力损伤,完全治愈了。在为期一年的随访中,没有进一步的压力伤害迹象。
结论:本病例报告描述了短臂缩短截骨术是一种可行的治疗方法,用于治疗因骨盆固定倾斜引起的非愈合性坐骨压力损伤。
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