دورية أكاديمية
Rib head dislocation causing spinal canal stenosis in a child with neurofibromatosis, type 1.
| العنوان: | Rib head dislocation causing spinal canal stenosis in a child with neurofibromatosis, type 1. |
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| المؤلفون: | Chen AM; Department of Radiology, University of South Florida College of Medicine, Tampa, FL, USA., Neustadt JB; Department of Orthopedic Surgery, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA., Kucera JN; Department of Radiology, University of South Florida College of Medicine, Tampa, FL, USA.; Department of Radiology, Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA. |
| المصدر: | Journal of radiology case reports [J Radiol Case Rep] 2017 Aug 31; Vol. 11 (8), pp. 8-15. Date of Electronic Publication: 2017 Aug 31 (Print Publication: 2017). |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: EduRad Publishing Country of Publication: United States NLM ID: 101494925 Publication Model: eCollection Cited Medium: Internet ISSN: 1943-0922 (Electronic) Linking ISSN: 19430922 NLM ISO Abbreviation: J Radiol Case Rep Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Cleveland Heights, Ohio : EduRad Publishing, 2007- |
| مواضيع طبية MeSH: | Ribs*, Joint Dislocations/*diagnostic imaging , Neurofibromatosis 1/*complications , Scoliosis/*diagnostic imaging , Spinal Cord Compression/*diagnostic imaging , Spinal Stenosis/*diagnostic imaging, Child ; Constriction, Pathologic ; Female ; Humans ; Joint Dislocations/complications ; Joint Dislocations/surgery ; Low Back Pain ; Mobility Limitation ; Neurofibromatosis 1/diagnostic imaging ; Scoliosis/etiology ; Spinal Cord Compression/etiology ; Spinal Cord Compression/surgery ; Spinal Fusion/instrumentation ; Spinal Fusion/methods ; Spinal Stenosis/etiology ; Spinal Stenosis/surgery |
| مستخلص: | A 10-year-old female with neurofibromatosis type 1 and severe dystrophic scoliosis presented with a two-month history of difficulty ambulating due to low back pain. The patient did not have any neurological symptoms. MRI of the thoracolumbar spine demonstrated subluxation of the right posterior tenth and eleventh ribs through their respective neural foramina, with mild mass effect on the thecal sac without abnormal cord signal or cord compression. Groups of neurofibromas were present along the right ribs and paravertebral soft tissues around these levels. CT evaluation was completed for greater osseous definition. Cases of rib head dislocation into the central canal in the setting of dystrophic scoliosis were documented in only a limited sample of case reports. The angulated short-segment curvature in dystrophic scoliosis causes vertebral body rotation, foraminal enlargement, spindling of transverse processes, and penciling of the apical ribs. These changes can alter the articulation of the rib along the transverse process. The enlarged foramina can also create a larger space into which a rib may displace. As a result, in most reported cases, the subluxed ribs were on the convex apex of the curve in the mid-to-lower thoracic region. The risk of cord injury from rib head dislocation makes the complete depiction of the anatomy essential for proper surgical management. |
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| فهرسة مساهمة: | Keywords: Dystrophic scoliosis; Neurofibromatosis type 1; Rib head dislocation; Spinal canal stenosis; Thoracic spine |
| تواريخ الأحداث: | Date Created: 20180105 Date Completed: 20180613 Latest Revision: 20181113 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC5743134 |
| DOI: | 10.3941/jrcr.v11i8.3113 |
| PMID: | 29299101 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1943-0922 |
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| DOI: | 10.3941/jrcr.v11i8.3113 |