Five Years of Follow-up after Posterior Cervical Fusion Surgery for Hirayama Disease:A Case Report.

IF 0.8 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

JOURNAL OF MEDICAL INVESTIGATION Pub Date : 2024-01-01 DOI:10.2152/jmi.71.298

Kosuke Sugiura, Toshinori Sakai, Masatoshi Morimoto, Hiroaki Manabe, Fumitake Tezuka, Kazuta Yamashita, Koichi Sairyo

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Abstract

Background: Hirayama disease (HD) is characterized by slow progression of muscle atrophy without sensory disturbance in a single upper extremity in adolescent boys. HD can be treated using both conservative measures and surgery. However, the optimal treatment remains controversial.

Case presentation: We have encountered an 18-year-old man with HD who presented to us with a 2-year history of progressive muscle atrophy and weakness of the left upper extremity. He underwent posterior cervical fusion surgery in the extended position without decompression. As of 5 years postoperatively, there has been no deterioration of his muscular atrophy and weakness and his condition has mildly improved. He was able to return to daily life and work with no difficulty.

Conclusions: Although cervical fusion surgery has several risks, including adjacent segment disease, posterior spinal fusion surgery without decompression in the short segment can be considered as a surgical option for HD. J. Med. Invest. 71 : 298-302, August, 2024.

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平山症后路颈椎融合术后五年随访：病例报告。

背景：平山症（Hirayama disease，HD）的特点是青春期男孩单上肢肌肉萎缩进展缓慢而无感觉障碍。平山症可以通过保守治疗和手术治疗。然而，最佳治疗方法仍存在争议：我们接诊了一名 18 岁的 HD 患者，他因左上肢进行性肌肉萎缩和无力已有 2 年病史。他接受了颈椎后路延长位融合手术，但未进行减压。术后 5 年，他的肌肉萎缩和无力症状没有恶化，病情也略有好转。结论：虽然颈椎融合手术有一定的风险，但它是一种有效的治疗方法：结论：尽管颈椎融合手术有包括邻近节段疾病在内的多种风险，但不对短节段进行减压的后路脊柱融合手术可作为 HD 的一种手术选择。J. Med.Invest.71 : 298-302, August, 2024.

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来源期刊

JOURNAL OF MEDICAL INVESTIGATION MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

1.20

自引率

0.00%

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