Heywood A W, Meyers O L
J Bone Joint Surg Br. 1986 May;68(3):362-8. doi: 10.1302/0301-620X.68B3.3733796.
We report seven cases of patients with seropositive rheumatoid arthritis in whom involvement of the thoracic and lumbar vertebrae occurred. Histological corroboration is presented in four. Pathological lesions comprised various combinations of paravertebral joint erosions, erosive discitis, anteroposterior and rotatory instability, major lumbar nerve root compression, and vertebral collapse. Specific radiological features are presented, enabling a distinction to be made between pure degenerative spondylosis and rheumatoid spondylitis. We submit that subcervical rheumatoid spondylitis is commoner than is generally believed, though less common than rheumatoid involvement of the cervical spine.
我们报告了7例血清反应阳性类风湿关节炎患者，这些患者出现了胸腰椎受累情况。其中4例有组织学证据支持。病理损害包括椎旁关节侵蚀、侵蚀性椎间盘炎、前后位和旋转不稳、主要腰神经根受压以及椎体塌陷的各种组合。文中呈现了特定的放射学特征，能够区分单纯的退行性脊椎病和类风湿性脊柱炎。我们认为，颈椎以下的类风湿性脊柱炎比一般认为的更为常见，尽管不如颈椎类风湿累及常见。
