Courtois C, Fallet G H, Vischer T L, Wettstein P
Ann Rheum Dis. 1980 Oct;39(5):462-8. doi: 10.1136/ard.39.5.462.
Seven patients with chronic dorsolumbar pain, stiffness and some restriction of spinal movements are described. Multiple lesions of the vertebral bodies were present. The lesions occurred at various levels and all had similar radiological characteristics, often returning to normal after several years. Vertebral changes of this type may be seen in patients with ankylosing spondylitis but for a variety of cogent reasons presented in this report our patients did not readily fall into this diagnostic group. The aetiology of these vertebral lesions is unknown but available evidence indicates that they should not be attributed to an infectious or neoplastic process.
本文描述了7例患有慢性腰背部疼痛、僵硬及脊柱活动受限的患者。椎体存在多处病变。病变发生在不同节段，且均具有相似的放射学特征，通常在数年后恢复正常。这种类型的椎体改变可见于强直性脊柱炎患者，但基于本报告中提出的多种令人信服的原因，我们的患者并不容易归入这一诊断类别。这些椎体病变的病因尚不清楚，但现有证据表明，不应将其归因于感染或肿瘤性病变。
