Zentrum für Operative Medizin II, Orthopädische Klinik, Klinikum der Philipps-Universität, Marburg/Lahn, Federal Republic of Germany.
Eur Spine J. 1992 Jun;1(1):55-9. doi: 10.1007/BF00302145.
We report the case of a delayed partial posttraumatic vertebral body necrosis (PVBN) 1 year after a spinal trauma. Operative treatment became necessary due to incipient paraplegia. PVBN, also known as Kümmell-Verneuil's disease, can occur as a rare but serious complication several months or even years after a spinal trauma. Radiologically, it often presents with an intravertebral vacuum phenomenon. The underlying reasons for the necrosis as mentioned in the literature seem to be an initial microtrauma, metabolic disturbances and primarily overlooked compression fractures. Histologically, it resembles a pseudarthrosis with only little bony reparation, as in an avascular femoral head necrosis.
我们报告了一例脊柱创伤 1 年后发生延迟性部分创伤后椎体坏死（PVBN）的病例。由于出现早期截瘫，需要进行手术治疗。PVBN 又称 Kümmell-Verneuil 病，在脊柱创伤后数月甚至数年后，可能作为一种罕见但严重的并发症发生。放射学上，它常表现为椎体内真空现象。文献中提到的坏死的潜在原因似乎是初始微创伤、代谢紊乱和最初被忽视的压缩骨折。组织学上，它类似于假关节，只有很少的骨修复，就像股骨头缺血性坏死一样。
