Goldblatt M, Cremin B J
Clin Radiol. 1978 Nov;29(6):669-77. doi: 10.1016/s0009-9260(78)80198-6.
Four hundred and ninety-nine cases of osteo-articular tuberculosis have been analysed with special emphasis on the "unusual" presentation. Sclerotic bone reaction in association with active tuberculous osteitis is not at all uncommon and may occur in any affected bone. Maintenance of disc spaces with tuberculous spondylitis is not uncommon. Periosteal reactions, often very gross, occur commonly both in multicystic tuberculosis as well as in isolated lesions. Multiple bone involvement occurred in 8.2% of this series. Tomography delineates the total extent of involvement especially in central involvement of vertebral bodies. Healed tuberculosis may give rise to block vertebrae indistinguishable from the congenital type except for the absence of waisting at the level of fusion.
对499例骨关节结核病例进行了分析，特别关注“不寻常”的表现。硬化性骨反应与活动性结核性骨炎相关并不罕见，可发生于任何受累骨骼。结核性脊柱炎时椎间盘间隙保持正常并不少见。骨膜反应通常很明显，在多囊性结核以及孤立性病变中都很常见。本系列病例中8.2%出现多骨受累。断层扫描可清晰显示受累的整体范围，尤其是椎体中央受累的情况。愈合的结核可导致椎体融合，与先天性椎体融合难以区分，只是融合部位没有腰部变窄。
