Collet P H, Roussouly P, Larbre J P, Ravault A P, Llorca G, Lejeune E
Service de Rhumatologie, Hôpital des Charpennes, Lyon.
Rev Rhum Mal Osteoartic. 1990 Jul-Sep;57(7-8):505-8.
The authors studied the special features of the vertebral location of this benign tumour of osteoblastic origin in eight cases of spinal osteoblastoma. Clinically, neurological complications are frequently present and scolioses may arise and persist after treatment; radiologically, new imaging techniques enable the limits of the tumour to be assessed with greater accuracy with respect to the neighbouring bone and their relationship to the components of the vertebral canal; surgically, there are difficulties specific to this location raised by the proximity of nervous components, and also by the vertebral destabilization entailed by the considerable bone involvement. Anatomicopathological diagnosis remains difficult, particularly in the case of osteoid osteoma.
作者研究了8例脊柱骨母细胞瘤中这种成骨细胞源性良性肿瘤的椎体位置特点。临床上，常出现神经并发症，治疗后脊柱侧弯可能出现并持续存在；放射学上，新的成像技术能够更准确地评估肿瘤相对于邻近骨骼的边界及其与椎管各组成部分的关系；手术方面，由于神经结构临近以及大量骨质受累导致椎体失稳，该部位存在特殊困难。解剖病理学诊断仍然困难，尤其是骨样骨瘤的情况。
