Ovechkina A V, Sadof'eva V I, Shumskaia T N, Iakovleva M I
Ortop Travmatol Protez. 1990 Aug(8):31-6.
203 patients with juvenile kyphosis, aged 11-16 years, have been subjected to the complex examination, including ++clinico-roentgenologic and physiologic methods. Along with the cardinal signs, common for juvenile kyphosis diagnosis and characteristic of the dystrophic process (wedge distortion, osteoporosis of vertebra bodies and fragmentation of their apophyses, dedifferentiation of the bone structure, height reduction and pathologic restructuring of intervertebral disks following the pattern of fibrosis, presence of discal hernia), the signs of bone ++ dysplasia of spine and skeleton in general should be singled out of the roentgenologic characteristic of disease which determine the variants of pathologic process course and treatment tactics. The presence of dysontogenesis signs in patients with juvenile kyphosis is suggested.
203例年龄在11至16岁的青少年脊柱后凸患者接受了包括临床放射学和生理学方法在内的综合检查。除了青少年脊柱后凸诊断常见的主要体征以及营养不良过程的特征(楔形变形、椎体骨质疏松及其骨骺碎裂、骨结构去分化、身高降低以及椎间盘呈纤维化模式的病理重塑、椎间盘突出)之外,脊柱和骨骼整体的骨发育异常体征应从疾病的放射学特征中区分出来,这些体征决定了病理过程的发展变体和治疗策略。提示青少年脊柱后凸患者存在发育异常体征。