改良单开门椎板成形术治疗儿童自发性椎管内硬膜外血肿2例分析

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Abstract Spontaneous spinal epidural hematoma (SSEH) is an unexplained abnormal accumulation of blood in the spinal epidural space, and the disease has a lower incidence in children. Delayed surgical decompression can lead to severe neurological impairment or even lifelong paralysis. Decompression hematoma drainage by laminectomy is the preferred treatment for SSEH. However, the application of this method in children cases is still controversial because it is highly invasive and damages the stability of posterior column. Two cases of SSEH children with initial symptoms of neck pain or limb numbness and weakness were reported. The hematoma was confirmed by MRI. After complete examination at admission, hematoma drainage with modified single open door laminoplasty was performed in the emergency department. Postoperative symptoms of neck pain disappeared. Recovery of neurological impairment. No obvious kyphosis deformity was found during 3 months of follow-up. This article aims to highlight the potential advantages of improved single-door laminoplasty in the treatment of SSEH in children.

Key words： Spontaneous spinal epidural hematoma Children One-side open door laminoplasty Treatment Minimally invasive surgery

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	ZHAO Shengli1
	2 LI Xin1 MIN Shaoxiong1

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ZHAO Shengli1,2 LI Xin1 MIN Shaoxiong1. An analysis of 2 cases of children with spontaneous spinal epidural hematoma treated by modified single-door laminoplasty[J]. 中国医药导报, 2020, 17(9): 160-163.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I9/160

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