儿童颈椎椎间盘钙化

Cervical Intervertebral Disc Calcification in Children

目的 :对 9例儿童颈椎椎间盘钙化病例的临床表现、影像学表现、鉴别诊断及治疗进行讨论。方法 :本组 9例 ,男 5例 ,女 4例 ,年龄 5～ 15岁 ,平均 11.2岁。 9例均为单发性颈椎椎间盘钙化 ,起病前 1例有发热史 ,1例有外伤史。除 1例无症状者偶然发现 ,其余患者临床表现均以颈部疼痛活动受限为主 ,均给予牵引等非手术治疗。结果 :9例在治疗后 2周～ 1个月内症状消失。随访 2年以上 ,钙化影在 3个月～ 3年内消失。结论 :儿童颈椎椎间盘钙化症属自疗性疾病 ,预后良好 ,保守治疗有满意疗效。

Objective: Nine cervical intervertebral disc calcifications were reviewed. The clinical features, roentgenographic clinic features, differential diagnosis and treatment were discussed. Method: Nine children with calcified cervical intervertebral disc were described. Five were boys and four were girls. The age at the time of diagnosis were 5 to 15 years, with mean age of 11.2 years. Of them, 1 had fever, 1 had history of trauma. All the children complained of neck pain and limited motion except one who was asymptomatic and identified by chance, and they were treated with conservative therapy. Result: Eight of nine children had symptoms which disappeared from two weeks to one month after treatment. Nine children had been followed over two years. The calcification disappeared from three months to three years. Conclusion: Cervical disc calcification in children is self-limited course with excellent prognosis. Conservative therapy will lead to satisfactory results.