Jensen L L, Halar E, Little J W, Brooke M M
Department of Physical Medicine and Rehabilitation, Braintree Hospital, Massachusetts 02184.
Am J Phys Med. 1987 Dec;66(6):351-63.
Neurogenic heterotopic ossification is a potential sequela of neurological disorders, especially spinal cord injury and head injury. The etiology is unknown. Clinical, radiologic, and bone scan findings are typical. Complications may threaten function. The differential diagnosis is crucial in its early stages. Treatment options include diphosphonates, non-steroidal anti-inflammatory drugs, and surgery. This article has reviewed the literature on neurogenic heterotopic ossification (HO), soft tissue ossification of neurologic disease, including pathogenesis, histology, presentation, diagnosis, natural history, complications, and current treatments.
神经源性异位骨化是神经疾病的一种潜在后遗症,尤其是脊髓损伤和头部损伤。其病因尚不清楚。临床、放射学和骨扫描结果具有典型性。并发症可能会威胁功能。早期的鉴别诊断至关重要。治疗选择包括双膦酸盐、非甾体抗炎药和手术。本文回顾了关于神经源性异位骨化(HO)、神经疾病软组织骨化的文献,内容包括发病机制、组织学、表现、诊断、自然病程、并发症及当前的治疗方法。