Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Neurosurg Spine. 2013 Aug;19(2):170-3. doi: 10.3171/2013.4.SPINE12906. Epub 2013 Jun 7.
Acute calcific discitis is a rare condition in the pediatric population and has been reported in only 2 instances in the adult population. This report describes a case of acute calcific discitis that uniquely presented in the adult cervical spine. A 22-year-old woman presented with the chief complaint of sudden-onset neck pain. Nonsurgical management, including nonsteroidal antiinflammatory drugs, provided moderate symptom relief. Radiography revealed nucleus pulposus calcification at the C2-3 level. Contrast-enhanced MRI did not reveal any additional abnormalities. Further nonsurgical management, including physical therapy and nonsteroidal antiinflammatory drugs, led to complete symptom relief within 6 months. Follow-up imaging demonstrated that the calcification had nearly resolved. Acute calcific discitis should be managed conservatively; the prognosis for a complete recovery is excellent. The pathophysiology of the disorder is yet to be elucidated, and the disorder is not exclusive to the pediatric population.
急性钙化性椎间盘炎在儿童人群中较为罕见,仅在成人中报道过 2 例。本报告描述了一例独特表现为成人颈椎的急性钙化性椎间盘炎病例。一名 22 岁女性以突发性颈部疼痛为主诉就诊。非手术治疗,包括非甾体抗炎药,提供了中等程度的症状缓解。影像学检查显示 C2-3 水平的髓核钙化。增强 MRI 未发现任何其他异常。进一步的非手术治疗,包括物理治疗和非甾体抗炎药,在 6 个月内完全缓解症状。随访影像学显示钙化几乎已消退。急性钙化性椎间盘炎应保守治疗;完全恢复的预后极好。该疾病的发病机制尚不清楚,且不限于儿童人群。