Miyamoto Kei, Shimizu Katsuji, Arimoto Rieko, Sakaguchi Yasumichi, Nishimoto Hirofumi, Kodama Hirotaka, Hosoe Hideo
Department of Orthopaedic Surgery, Gifu University, School of Medicine, Gifu, Japan.
Spine (Phila Pa 1976). 2003 Aug 15;28(16):E320-2. doi: 10.1097/01.BRS.0000083321.62608.EE.
We report on a 69-year-old male who had severe back pain due to spontaneous symptomatic pseudoarthrosis at the T11-T12 intervertebral space with diffuse idiopathic skeletal hyperostosis.
To describe a rare clinical entity and successful treatment by spinal fusion with a 4-year follow-up.
There have been a few reports of spontaneous symptomatic pseudoarthrosis of an intervertebral space associated with diffuse idiopathic skeletal hyperostosis, but there have been no reports of surgical treatment for this clinical condition.
Plain radiographs of the patient, who was admitted to our hospital with severe back pain but no history of trauma, revealed manifestations of diffuse idiopathic skeletal hyperostosis and a pseudoarthrosis at the T11-T12 intervertebral space. Posterior instrumentation from T9 to L2 and anterior bone grafting at the T11-T12 intervertebral space were performed.
The patient has been followed for 4 years and is currently asymptomatic.
A rare case of spontaneous symptomatic pseudoarthrosis at the T11-T12 intervertebral space with diffuse idiopathic skeletal hyperostosis was treated successfully by spinal fusion.
我们报告一例69岁男性，因T11 - T12椎间隙自发性症状性假关节伴弥漫性特发性骨肥厚而出现严重背痛。
描述一种罕见的临床病症，并通过脊柱融合术成功治疗且进行4年随访。
关于与弥漫性特发性骨肥厚相关的椎间隙自发性症状性假关节已有少数报道，但尚无针对此临床病症的手术治疗报道。
该患者因严重背痛入院，无外伤史，其X线平片显示有弥漫性特发性骨肥厚表现及T11 - T12椎间隙假关节。实施了T9至L2的后路内固定及T11 - T12椎间隙的前路植骨。
对该患者进行了4年随访，目前无症状。
通过脊柱融合术成功治疗了一例罕见的T11 - T12椎间隙自发性症状性假关节伴弥漫性特发性骨肥厚病例。
