tailieunhanh - Chỉnh hình phẫu thuật cột sống ở trẻ em

Tiến sĩ Garg IS trú, Khoa chỉnh hình phẫu thuật, Washington Đại học Y khoa, St Louis, MO. Tiến sĩ Dormans IS trưởng, Phòng Phẫu thuật chỉnh hình, Bệnh viện Trẻ em của Philadelphia, và giáo sư phẫu thuật chỉnh hình, Đại học Pennsylvania Trường Y, Philadelphia, PA. Không ai trong số các tác giả sau hoặc các phòng ban với nào | Tumors and Tumor-like Conditions of the Spine in Children Sumeet Garg MD and John P. Dormans MD Dr. Garg is Resident Department of Orthopaedic Surgery Washington University School of Medicine St. Louis MO. Dr. Dormans is Chief Division of Orthopaedic Surgery The Children s Hospital of Philadelphia and Professor of Orthopaedic Surgery University of Pennsylvania School of Medicine Philadelphia PA. None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article Dr. Garg and Dr. Dormans. Reprint requests John P Dormans MD Division of Orthopaedic Surgery The Children s Hospital of Philadelphia 34th Street and Civic Center Boulevard Wood Building 2nd Floor Philadelphia PA 19104. J Am Acad Orthop Surg 2005 13 372-381 Copyright 2005 by the American Academy of Orthopaedic Surgeons. Abstract Tumors and tumor-like conditions of the spine although rare should be included in the differential diagnosis of infants and children with back pain. Skeletal pathology is more frequently the cause of back pain in children than in adults. Although most tumors and tumor-like conditions of the spine in children are benign many require surgery. Children with malignant tumors of the spine with the exception of leukemia and lymphoma may require multimodality therapy including surgery to achieve long-term cure. Advances in imaging surgical technique surgical technology and adjuvant therapy have led to improvements in diagnosis and treatment and thus outcomes. In many cases however early and accurate diagnosis is often possible based on only clinical history physical examination and plain radiographic imaging. The incidence of bone pathology except degeneration is relatively low in adults with back pain even though these patients may undergo extensive workup for their symptoms. In children however structural pathology is the most .