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[强直性脊柱炎中的脊柱假关节]

[Spinal pseudoarthrosis in ankylosing spondylitis].

作者信息

Manero Ruiz F J, Roca Espiau M, Mota Martínez J

机构信息

Servicios de Reumatología, Hospital Universitario Miguel Servet, Zaragoza.

出版信息

An Med Interna. 2002 Sep;19(9):466-9.

Abstract

Spinal pseudoarthrosis is an uncommon complication in patients with advanced ankylosing spondylitis which consists in destruction of the discovertebral junction. Two cases of spinal pseudoarthrosis at the thoracolumbar level after a spontaneous fall are reported. Because of the neural arch involvement and the spinal cord compression a stabilization was required. Different imaging techniques are complementaries in the study of this entity, conventional radiographs and computed tomography may depicte bone abnormalities, but magnetic resonance allows a correct evaluation of spinal cord and soft tissue involvement.

摘要

脊柱假关节形成是晚期强直性脊柱炎患者中一种罕见的并发症,其特征是椎间盘连接部位遭到破坏。本文报告了两例因自发性跌倒后发生胸腰段脊柱假关节形成的病例。由于神经弓受累及脊髓受压,需要进行稳定手术。不同的影像学技术在该疾病的研究中互为补充,传统X线片和计算机断层扫描可显示骨骼异常,但磁共振成像能正确评估脊髓和软组织受累情况。

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