THE ASSOCIATION BETWEEN DEEP VENOUS THROMBOSIS AND HETEROTOPIC OSSIFICATION IN PATIENTS WITH ACUTE TRAUMATIC SPINAL-CORD INJURY

被引：27

作者：

COLACHIS, SC

CLINCHOT, DM

机构：

[1] Department of Physical Medicine and Rehabilitation, Spinal Cord Injury Rehabilitation

[2] Department of Physical Medicine and Rehabilitation, The Ohio State University, Dodd Hall, Columbus, OH, 43210

来源：

PARAPLEGIA | 1993年 / 31卷 / 08期

关键词：

HETEROTOPIC OSSIFICATION; DEEP VENOUS THROMBOSIS; SPINAL CORD INJURY;

D O I：

10.1038/sc.1993.82

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The medical records of 209 patients with acute traumatic spinal cord injury (SCI) admitted to the SCI rehabilitation unit from 7/1/88 through 12/31/92 were reviewed. Whereas the incidence of heterotopic ossification (HO) and deep venous thrombosis (DVT) in this population were 16.7% and 14.3%, respectively, 36.6% of the individuals with DVT had HO. 31.4% of those with HO developed DVT at some time during their acute or rehabilitation hospitalization. The overall incidence of coexistent DVT and HO was 5.3%. The correlation between the occurrence of HO and DVT in this SCI population reached statistical significance (X2 = 9.97; p < 0.005). The results of this study suggest that there exists an association between the occurrence of DVT and HO following traumatic SCI. We hypothesize that venous compression from expanding heterotopic bone can result in lower limb DVT following traumatic SCI.

引用

页码：507 / 512

页数：6

共 31 条

[1]

Blane C.E., Perkash I., True heterotopic bone in the paralyzed patient, Skeletal Radiol, 7, pp. 21-25, (1981)

[2]

Mme D., Ceiller A., Para-osteo-arthropathies des paraplegiques par lesions medullaires. (Etudeclinique et radiographique), Ann Med, 5, (1918)

[3]

Freehafer A.A., Yurick R., Mast W.A., Para-articular ossification in spinal cord injury, Med Serv J Can, 22, pp. 471-478, (1966)

[4]

Hardy A.G., Dickson J.W., Pathological ossification in traumatic paraplegia, J Bone Joint Surg, 45, pp. 76-87, (1963)

[5]

Liberson M., Soft tissue calcifications in cord lesions, JAMA, 152, pp. 1010-1013, (1953)

[6]

Wharton G., Morgan T.H., Ankylosis in the paralyzed patient, J Bone Joint Surg, 52, pp. 105-112, (1970)

[7]

Kewalramani L.S., Ectopic ossification, Am J Phys Med, 56, pp. 99-121, (1977)

[8]

Garland D.E., A clinical perspective on common forms of acquired heterotopic ossification, ClinOrthop, 263, pp. 13-29, (1991)

[9]

Garland D.E., Orwin J.F., Resection of heterotopic ossification in patients with spinal cord injuries, Clin Orthop, 242, pp. 169-176, (1989)

[10]

Hsu J.D., Sakimura I., Stauffer E.S., Heterotopic ossification around the hip joint in spinal cord injuredpatients, Clin Orthop, 112, pp. 165-169, (1975)

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