Cervical kyphoscoliosis due to substance abuse: a case series on introduction and neurosurgical treatment.

IF 1.6 Q3 CLINICAL NEUROLOGY

Spine deformity Pub Date : 2024-10-22 DOI:10.1007/s43390-024-00989-7

Majid Rezvani, Mohammadreza Mehrabanian, Omid R Hariri, Colin Son, Noushin Vahdat, Mina Foroughi, Ariel Takayanagi, Sara Mirza, Sadegh Baradaran Mahdavi, Arman Sourani

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引用次数: 0

Abstract

Study design: A prospective case series.

Objective: To investigate the possible associations of multi-directional cervical kyphoscoliosis (CKS) with substance abuse and evaluate treatment outcomes. CKS is a rare medical situation without a well-established pathology. Still there are many obscurities in treatment paradigms and outcomes. To our knowledge, there is no published report on the association between CKS with addiction. Besides the novel report of such a rare etiology for CSK, the complexity of the neurosurgical treatment makes this report the first of its kind.

Methods: In this series, we presented three patients with a history of crack cocaine addiction who suffered CKS due to prolonged hand-over-neck posture and treated all of them with a complex neurosurgical protocol.

Results: All cases were operated on and restored their normal spine alignment. Their long-term outcomes showed independent neurological status with no major surgical complications.

Conclusion: Crack cocaine addiction might be associated with CKS in long-term cocaine abuse. A complex neurosurgical approach can achieve a sustainable clinical outcome.

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药物滥用导致的颈椎脊柱侧弯：介绍和神经外科治疗的系列病例。

研究设计前瞻性病例系列：调查多向性颈椎脊柱侧弯症（CKS）与药物滥用的可能关联，并评估治疗效果。颈椎脊柱侧弯症是一种罕见的病症，没有明确的病理机制。在治疗范例和结果方面仍有许多模糊之处。据我们所知，目前还没有关于 CKS 与成瘾关系的公开报道。除了对 CSK 这种罕见病因的新颖报道外，神经外科治疗的复杂性也使本报告成为同类报告中的首例：在这组病例中，我们介绍了三位有快克可卡因成瘾史的患者，他们因长时间的手捂颈姿势而患上了 CKS，我们采用了复杂的神经外科方案对他们进行了治疗：结果：所有病例均接受了手术治疗，恢复了正常的脊柱排列。结果：所有病例均接受了手术治疗，恢复了正常的脊柱排列，其远期疗效显示神经功能状态良好，无重大手术并发症：结论：长期吸食可卡因可能与快克可卡因成瘾有关。复杂的神经外科手术方法可实现可持续的临床疗效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Spine deformity

CiteScore

3.20

自引率

18.80%

发文量

167

期刊介绍： Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.