Corea J R, Tamimi T M
Department of Orthopaedics, College of Medicine, King Faisal University, Dammam, Saudi Arabia.
Spine (Phila Pa 1976). 1987 Jul-Aug;12(6):608-11. doi: 10.1097/00007632-198707000-00022.
This rare case of tuberculosis of the arch of atlas illustrates the potential difficulties in making a clinical diagnosis of tuberculosis of the upper cervical spine. Plain roentgenograms may not demonstrate an early lesion of the neural arch, and CT is a valuable adjunct. The use of a halo vest proved a successful alternative to operation in conferring stability to the spine during healing.
这例罕见的寰椎弓结核病例说明了对上颈椎结核进行临床诊断时可能存在的困难。普通X线平片可能无法显示神经弓的早期病变,而CT是一种有价值的辅助检查手段。事实证明,使用头环背心是一种成功的替代手术的方法,可在愈合过程中为脊柱提供稳定性。