Arlet J, Roulleau J, Espagno J, Géraud G, Gayrard M, Guillaume J, Mazières B
Rev Rhum Mal Osteoartic. 1978 Feb;45(2):83-7.
The authors present two observations of dorsal medullary compression by intraspinal benign osseous proliferations developing in subjects who present with anterior vertebral hyperostosis. In the second observation operative intervention confirmed the site and nature of the lesion. The authors have researched the same radiological findings in other cases of vertebral hyperostosis. They describe the lesions which are of considerable practical importance as they are able to injure the spinal cord and the nerve roots, resulting in a hyperostotic dorsal myelopathy. All unexplained paraplegias should be investigated for such lesions by meticulous tomographic studies.
作者报告了两例因脊柱内良性骨质增生导致延髓背侧受压的病例,这些增生发生于椎体前缘骨质增生的患者。在第二例病例中,手术干预证实了病变的部位和性质。作者在其他椎体骨质增生病例中研究了相同的影像学表现。他们描述了这些具有相当重要实际意义的病变,因为它们能够损伤脊髓和神经根,导致骨质增生性脊髓病。对于所有不明原因的截瘫患者,都应通过细致的断层扫描研究来排查此类病变。