儿童颈胸椎间盘钙化症的临床诊治

目的：探讨儿童颈胸椎间盘钙化症的临床特点、诊断方法与治疗措施。方法：6例中男5例，女1例；年龄7～14岁，平均10．5岁。X线片均发现有椎间盘钙化，有的钙化间盘组织突入椎管。3例为C4．5，2例C6．7，1例T2．3、T4．5。有反复发作的颈背部疼痛，但无脊髓受损表现。6例均采用对症治疗，包括口服消炎止痛药、理疗、卧床休息、配戴颈围等。结果：症状在治疗后2周～3个月缓解。本组均获得随访，随访时间3-25个月，钙化影在3-12个月消失，平均消失时间7．6个月。结论：X线片是儿童椎间盘钙化症主要诊断方法，椎间隙正常而间盘钙化为重要的诊断与鉴别诊断依据。突入椎管内的实性团块，可经保守治疗而消失。

Diagnosis and treatment of cervical and thoracic intervertebral disc calcification in children

Objective: To explore the clinical characteristics,diagnosis methods and therapeutic measures of cervical and thoracic intervertebral disc calcification in children.Methods:Six patients (5 male and 1 female) with age from 7 to 14 years(averagely 10.5 years) were investigated.The X-ray showed intervertebral disc calcification in all the patients involving C_ 4,5 (3 cases),C_ 6,7 ( 2 cases) and T_ 2,3 and T_ 4,5 (1 case).Some patients had calcific intervertebral disc projecting into the vertebral canal.The patients suffered from repeated cervical and back pain without spinal cord injury.Six patients were treated with expectant treatment including oral antiphlogistic and analgesic,physiotherapy,resting in bed and wearing neck collar etc.Results:Symptoms were alleviated in 2 weeks-3 months after treatment.All the patients were followed up from 3 to 25 months.Calcification disappeared in 3-12 months with an average time of 5.6 months.Conclusion:The X-ray image are main diagnosis method,normal intervertebral space and calcific intervertebral disc are important evidences for the diagnosis and differentiating diagnosis of intervertebral disc calcification.Also,the mass projecting into spinal canal can be cured by conservative treatment.