Compresión medular por hipercifosis toracolumbar en un cuadro de displasia espondiloepifisaria congénita

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Compresión medular por hipercifosis toracolumbar en un cuadro de displasia espondiloepifisaria congénita

SPINAL CORD COMPRESSION BY THORACOLUMBAR KYPHOSIS IN SPONDYLOEPIPHISEAL DYSPLASIA

C. VILLAS y M. SAN JULIAN Departamento de Cirugía Ortopédica y Traumatología. Facultad de Medicina. Universidad de Navarra.

Recepción:

04/02/2009

Aceptación:

04/02/2009

Publicación:

04/02/2009

Métricas

51

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Resumen (ES)

The clinical findings in DEEC are: Disproportionate dwarfisms (with short spine, kyphoscoliosis, pectus carinatus), genu valgum, etc. The epiphyses are poorly ossified and deformed. Progressive motor weakness may be the first clinical symptom of spinal cord compression caused by a kyphoscoliosis. In these cases we must make a differential diagnosis with a premature osteoarthritis of the hips. We report two cases. One of them was treated with spinal fusion for correction of her kyphoscoliosis, andthe other one with a total hip arthroplasty.

Palabras clave (ES):

Descompresión

Coxopatía

Displasia

espondiloepifisaria

angular

medular

Toracolumbar

Raquis

Columna

Vertebral

Cifosis

Resumen (EN)

The clinical findings in DEEC are: Disproportionate dwarfisms (with short spine, kyphoscoliosis, pectus carinatus), genu valgum, etc. The epiphyses are poorly ossified and deformed. Progressive motor weakness may be the first clinical symptom of spinal cord compression caused by a kyphoscoliosis. In these cases we must make a differential diagnosis with a premature osteoarthritis of the hips. We report two cases. One of them was treated with spinal fusion for correction of her kyphoscoliosis, andthe other one with a total hip arthroplasty.

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