Bhate D V, Pizarro A J, Seitam A, Mak E B
Radiology. 1979 Oct;133(1):55-8. doi: 10.1148/133.1.55.
Two-hundred paraplegic men were studied to determine the nature of their axial skeletal changes. Forty-two per cent had sacro-iliac (SI) joint changes which varied from marginal blurring, erosion, sclerosis, and narrowing of the joint space (9%) to complete obliteration of the joints (33%). Radiographs of the thoracolumbar spine revealed syndesmophytes (9%), interspinous ossification (2%), intervertebral disk calcification (1.5%), and large osteophytes (2%). These changes had no relation to race, age (except spine changes), or paralysis level, but were related to the duration of the paralysis. The observed skeletal changes mimic HLA-B27 arthropathy. However, the presence of para-osteoarthropathies and negative HLA-B27 in paraplegics would help in differential diagnosis.
对200名截瘫男性进行了研究，以确定其轴向骨骼变化的性质。42%的患者存在骶髂（SI）关节变化，从关节边缘模糊、侵蚀、硬化、关节间隙变窄（9%）到关节完全融合（33%）不等。胸腰椎X线片显示有韧带骨赘（9%）、棘突间骨化（2%）、椎间盘钙化（1.5%）和大的骨赘（2%）。这些变化与种族、年龄（脊柱变化除外）或瘫痪平面无关，但与瘫痪持续时间有关。观察到的骨骼变化类似于HLA - B27关节病。然而，截瘫患者中并存的旁骨关节炎和HLA - B27阴性有助于鉴别诊断。
