Savk Oner, Savk Ekin
Department of Orthopaedics, Adnan Menderes University, Aydin, Turkey.
J Am Acad Dermatol. 2005 Jun;52(6):1085-7. doi: 10.1016/j.jaad.2005.01.138.
A possible association of spinal pathology with notalgia paresthetica (NP) was investigated through clinical and radiographic evaluation. Forty-three NP patients underwent dermatologic and orthopedic examination accompanied by radiography of the spine. Sixty-one lesions in 43 patients were evaluated. In 34 patients, various vertebral pathologies were observed radiographically by a blinded investigator, and in 28 of these cases these changes were most prominent in the vertebrae which corresponded to a lesional dermatome. Thirty-seven lesions were accompanied by spinal changes decided to be relevant (60.7%). The striking correlation of NP localization with spinal pathology suggests that spinal nerve impingement may contribute to the pathogenesis of this entity.
通过临床和影像学评估，对脊髓病变与感觉异常性背痛（NP）之间可能存在的关联进行了调查。43例NP患者接受了皮肤科和骨科检查，并伴有脊柱X线摄影。对43例患者中的61处病变进行了评估。在34例患者中，一位不知情的研究者通过X线摄影观察到了各种椎体病变，其中28例患者的这些改变在与病变皮节相对应的椎体中最为明显。37处病变伴有被判定为相关的脊柱改变（60.7%）。NP定位与脊髓病变之间显著的相关性表明，脊神经受压可能在该疾病的发病机制中起作用。
