Tallroth K, Malmivaara A, Laitinen M L, Savolainen A, Harilainen A
Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland.
Skeletal Radiol. 1995 Jul;24(5):337-40. doi: 10.1007/BF00197061.
Lumbar spine radiographs of 28 patients with Marfan syndrome and a gender and age-matched control group were evaluated for scoliosis and morphologic changes of the L2, L3, and L4 vertebrae. No patient or control subject had any serious low back problems. The Marfan patients showed a high incidence of scoliosis (64%). The incidence of lumbosacral transitional vertebra was also high (18%). The end plates of the vertebral bodies in the Marfan patients were more biconcave than in the control group. In addition, the transverse processes were longer in relation to the vertebral body width in the Marfan group than in the controls. These findings indicate that biconcave vertebral bodies can be added to the list of skeletal manifestations of the Marfan syndrome, and Marfan syndrome to the list of differential diagnoses for biconcave vertebrae ("codfish vertebrae").
对28例马凡综合征患者以及性别和年龄匹配的对照组的腰椎X光片进行评估，以观察脊柱侧弯以及L2、L3和L4椎体的形态变化。没有患者或对照对象有任何严重的下背部问题。马凡综合征患者脊柱侧弯的发生率很高（64%）。腰骶部移行椎的发生率也很高（18%）。马凡综合征患者椎体的终板比对照组更呈双凹形。此外，与对照组相比，马凡综合征组横突相对于椎体宽度更长。这些发现表明，双凹形椎体可被列入马凡综合征的骨骼表现清单中，而马凡综合征也可被列入双凹形椎体（“鳕鱼椎”）的鉴别诊断清单中。
