Service de radiopédiatrie, université de Lille 2, hôpital Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, Lille cedex, France.
Diagn Interv Imaging. 2012 Jan;93(1):53-6. doi: 10.1016/j.diii.2011.11.003. Epub 2011 Dec 29.
We report a series of three cases of progressive anterior vertebral fusion diagnosed and monitored in our establishment. This very rare condition was discovered in young children while exploring a spinal deformity. With X-rays of the thoracolumbar spine it was possible to make a positive diagnosis and ensure follow-up. The radiographic semeiotics are characteristic and combine anterior pinching of the disc, well-delimited erosion of the anterior vertebral corners and anterior then posterior intervertebral ankylosis. MRI is very useful for assessing the extent of the intervertebral ankylosis and the condition of the residual discs, without irradiation. The condition develops over several months or years. Conservative treatment is usually sufficient.
我们报告了在我们医院诊断和监测的三例进行性前椎体融合病例。这种非常罕见的疾病是在儿童中发现的,当时他们正在探索脊柱畸形。通过胸腰椎 X 射线可以做出明确诊断并进行随访。放射学征象具有特征性,包括椎间盘前缘压缩、前椎体角明确侵蚀和前向后椎间融合。MRI 对于评估椎间融合的程度和残留椎间盘的情况非常有用,而且没有辐射。这种情况会在数月或数年内发展。通常,保守治疗就足够了。