Doury P
Service de Rhumatologie, Hôpital du Val-de-Grâce, Paris.
Rev Rhum Mal Osteoartic. 1989 Oct;56(10):697-701.
From a personal case, the author reviews the literature on the subject of algodystrophy of the spine, 20 cases of which have been reported. This is one of the forms of "Kümmel-Verneuil syndrome, a clinical entity which has been unjustly neglected for 30 years. The diagnosis of spinal algodystrophy is easy when preceded or followed by a typical algodystrophy of the peripheral joints. It is much more difficult or even impossible if the algodystrophy only involves the spine. The positive diagnosis is based on specific criteria but one must always rule out spinal affections of inflammatory, infectious and neoplastic nature. The treatment is simple, including a brief immobilisation of the spine during the painful phase with calcitonin associated with an early and cautious physical therapy.
作者通过一个个案回顾了关于脊柱骨质营养不良的文献,此类病例已报道过20例。这是“屈梅尔 - 韦尔讷伊综合征”的一种形式,这一临床病症已被不公正地忽视了30年。当脊柱骨质营养不良之前或之后伴有典型的外周关节骨质营养不良时,脊柱骨质营养不良的诊断很容易。如果骨质营养不良仅累及脊柱,则诊断要困难得多,甚至不可能。阳性诊断基于特定标准,但必须始终排除炎症性、感染性和肿瘤性的脊柱疾病。治疗方法很简单,包括在疼痛阶段对脊柱进行短暂固定,并使用降钙素,同时尽早谨慎地进行物理治疗。