儿童颈椎间盘钙化的诊断和治疗

目的 探讨儿童颈椎间盘钙化诊断和治疗的有效方法。方法 回顾性分析13例儿童的颈椎间盘钙化,其中上感后颈痛5例,外伤后偶然发现2例,突发颈部疼痛3例,突发斜颈3例。所有患者均经颈椎正、侧位X片证实。伴有疼痛症状应用非甾体抗炎镇痛药类药物,对于颈部症状较重则予预围外固定或短暂牵引后颈围外固定3－4周。结果 13例患儿共发现14个椎间隙的颈椎间盘钙化。经对症处理后临床症状均消失,所有的钙化均于5个月内完全消失。结论 儿童颈椎间盘钙化是一良性自限性疾病,正确认识其病理生理过程,可避免不必要的手术创伤。

Diagnosis and treatment of cervical disc calcification in children

Objectives To investigate the diagnosis and treatment of cervical disc calcification in children. Methods 13 children with cervical disc calcification were analysed retrospectively. Cervical pain was observed after influenza in 5 children, sudden cervical pain in 3, sudden wryneck in 3 within. Two children with this disease were accidentally found after injury. Results 14 calcifications of cervical disks were found in 13 children. Clinical symptoms disappeared after symptomatic management. Calcification disappeared within 5 months in all cases. Conclusions Cervical disc calcification in children is a kind of benign self limited disease. Correst understanding of pathophysiologic course of this disease helps to avoid unnessary surgery.