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类风湿关节炎合并临床脊髓病的脊髓:计算机脊髓造影研究

The spinal cord in rheumatoid arthritis with clinical myelopathy: a computed myelographic study.

作者信息

Stevens J M, Kendall B E, Crockard H A

出版信息

J Neurol Neurosurg Psychiatry. 1986 Feb;49(2):140-51. doi: 10.1136/jnnp.49.2.140.

Abstract

Thirty one patients with suspected myelopathy due to rheumatoid arthritis were examined by plain radiography and 27 had computed myelography. Clinical features and radiological findings were compared. Deformity of the spinal cord could occur in the absence of combined anterior and posterior compression and correlated closely with clinical features only when considered in combination with skeletal and adjacent soft tissue abnormalities. The best surgical results were achieved by transoral odontoidectomy.

摘要

31例疑似类风湿性关节炎所致脊髓病的患者接受了X线平片检查,27例接受了脊髓造影计算机断层扫描。对临床特征和影像学检查结果进行了比较。脊髓畸形可在无前后联合压迫的情况下发生,只有与骨骼及相邻软组织异常一并考虑时,才与临床特征密切相关。经口齿状突切除术取得了最佳手术效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3475/1028679/b55c87d24701/jnnpsyc00094-0029-a.jpg

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