Polyarticular Neurogenic Heterotopic Ossification in a Spinal Cord Injury: A Case Report from Saudi Arabia.

作者: Taha Ali , Rouaa F Mandurah , Sami Ullah

DOI: 10.7759/CUREUS.4019

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摘要: A 33-year-old male victim of a motor vehicle accident, who presented with T12 (thoracic 12 vertebra) burst fracture (ISNCSCI T11 AIS-A: International Standards for Neurological Classification Spinal Cord Injury ASIA Impairment Scale), was admitted to rehabilitation hospital. stage-II left ischial pressure ulcer also reported. An X-ray the pelvis revealed bilateral neurogenic heterotopic ossification (NHO) in both hips and knees, which further confirmed by TC-99m methylene diphosphonate (MDP) bone scintigraphy. Interventions included indomethacin conservative management. Surgery not preferred, as NHO still immature. Moreover, patient transfer lower body dressing were unaffected NHO. It is important consider an early radiological screen selected high-risk cases NHO, minimize risk associated complications.

参考文章(18)
Fin Biering-Sørensen, Stephen P Burns, Daniel E Graves, James Guest, Linda Jones, Mary Schmidt Read, Gianna M Rodriguez, Christian Schuld, Kristen Walden, Steven Kirshblum, International Standards For Neurological Classification Of Spinal Cord Injury The Journal of Spinal Cord Medicine. ,vol. 26, pp. S50- S56 ,(2003) , 10.1080/10790268.2003.11754575
Cara A. Cipriano, Stephan G. Pill, Mary Ann Keenan, Heterotopic ossification following traumatic brain injury and spinal cord injury. Journal of The American Academy of Orthopaedic Surgeons. ,vol. 17, pp. 689- 697 ,(2009) , 10.5435/00124635-200911000-00003
K Banovac, J M Williams, L D Patrick, A Levi, Prevention of heterotopic ossification after spinal cord injury with COX-2 selective inhibitor (rofecoxib) Spinal Cord. ,vol. 42, pp. 707- 710 ,(2004) , 10.1038/SJ.SC.3101628
AA van Kuijk, ACH Geurts, HJM van Kuppevelt, Neurogenic heterotopic ossification in spinal cord injury Spinal Cord. ,vol. 40, pp. 313- 326 ,(2002) , 10.1038/SJ.SC.3101309
S S Alshahri, R A Cripps, B B Lee, M S Al-Jadid, Traumatic spinal cord injury in Saudi Arabia: an epidemiological estimate from Riyadh Spinal Cord. ,vol. 50, pp. 882- 884 ,(2012) , 10.1038/SC.2012.65
Byron Chalidis, Dirk Stengel, Peter V. Giannoudis, Early excision and late excision of heterotopic ossification after traumatic brain injury are equivalent: a systematic review of the literature. Journal of Neurotrauma. ,vol. 24, pp. 1675- 1686 ,(2007) , 10.1089/NEU.2007.0342
P Schuetz, B Mueller, M Christ-Crain, W Dick, H Haas, Amino-bisphosphonates in heterotopic ossification: first experience in five consecutive cases. Spinal Cord. ,vol. 43, pp. 604- 610 ,(2005) , 10.1038/SJ.SC.3101761
B B Lee, R A Cripps, M Fitzharris, P C Wing, The global map for traumatic spinal cord injury epidemiology: update 2011, global incidence rate Spinal Cord. ,vol. 52, pp. 110- 116 ,(2014) , 10.1038/SC.2012.158
Brian K Kwon, Wolfram Tetzlaff, Jonathan N Grauer, John Beiner, Alexander R Vaccaro, Pathophysiology and pharmacologic treatment of acute spinal cord injury. The Spine Journal. ,vol. 4, pp. 451- 464 ,(2004) , 10.1016/J.SPINEE.2003.07.007
Luc Vanden Bossche, Guy Vanderstraeten, Heterotopic ossification: a review. Journal of Rehabilitation Medicine. ,vol. 37, pp. 129- 136 ,(2005) , 10.1080/16501970510027628