Schweitzer M E, Cervilla V, Manaster B J, Gerharter J, Dalinka M, Peck W W, Resnick D
Department of Radiology, Veterans Affairs Medical Center (VAMC), San Diego, CA 92161.
AJR Am J Roentgenol. 1991 Sep;157(3):523-5. doi: 10.2214/ajr.157.3.1872239.
Although soft-tissue calcification is common in collagen vascular disease, paraspinal calcification in the cervical spine has not been described before. We studied five women with large, lobulated, predominantly homogeneous calcific masses centered on synovial articulations in the neck. Changes consisting of either osteolysis or erosions were evident. All patients had radiculopathy, focal pain, or stiffness. In two patients, the presence of hydroxyapatite crystals was confirmed on biopsy. Symptomatic cervical paraspinal calcifications in patients with collagen vascular disease cause large soft-tissue masses that mimic tumoral calcinosis.
尽管软组织钙化在胶原血管病中很常见，但颈椎椎旁钙化此前尚未见报道。我们研究了5名女性患者，她们颈部滑膜关节周围有巨大的、分叶状、主要为均匀的钙化肿块。明显存在骨质溶解或侵蚀性改变。所有患者均有神经根病、局部疼痛或僵硬症状。两名患者经活检证实存在羟基磷灰石晶体。胶原血管病患者出现的有症状的颈椎椎旁钙化会导致巨大的软组织肿块，类似肿瘤性钙化。
