Modena V, Maiocco I, Bosio C, Bianchi A, DeFilippi P G, Daneo V
Clin Exp Rheumatol. 1985 Jan-Mar;3(1):23-7.
Analysis of five personal cases of the intravertebral vacuum cleft phenomenon and a close examination of the literature, suggest that it is rather more frequent than it first appears. Intravertebral vacuum cleft tends to occur more readily in the vertebrae of the dorsolumbar hinge and mainly in the elderly, slightly more common in women than men. The main factors, from the pathogenetic point of view, are osteoporosis, a history of trauma and frequent occurrence of rheumatic problems which are often complicated by vasculitis. The comparison between excessive uptake of calcium-mimetic technetium and uptake deficit of technetium phytate by the vertebra with a vacuum cleft, leads us to consider it as an expression of osteo and bone marrow necrosis.
对五例椎体内真空裂隙现象的个人病例分析以及对文献的仔细研究表明，该现象比最初看起来更为常见。椎体内真空裂隙在胸腰段铰链处的椎体中更容易出现，且主要发生在老年人中，女性略多于男性。从发病机制的角度来看，主要因素是骨质疏松、创伤史以及风湿问题频繁发生，且常并发血管炎。对存在真空裂隙的椎体进行模拟钙锝摄取过多与植酸锝摄取不足的比较，使我们认为这是骨和骨髓坏死的一种表现。
