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放射病例。诊断成像临床(1)。强直性脊柱炎伴假关节并发症。

Radiologic case. Clinics in diagnostic imaging (1). Ankylosing spondylitis with complication of pseudoarthrosis.

作者信息

Peh W C, Luk K D

机构信息

Department of Diagnostic Radiology, University of Hong Kong, Queen Mary Hospital & Duchess of Kent Hospital.

出版信息

Singapore Med J. 1994 Dec;35(6):638-40.

PMID:7761894
Abstract

A 41-year-old Chinese woman with quiescent ankylosing spondylitis presented with increasingly severe, recurrent back pain. The thoracolumbar junction was focally tender on palpation. Radiographs and computerised tomography demonstrated T12/L1 pseudoarthrosis. Excision of pseudoarthrosis, followed by anterior and posterior spinal fusion were performed with good results. The clinical features, pathogenesis, and management of this complication are discussed. Imaging of pseudoarthrosis in ankylosing spondylitis is emphasized.

摘要

一名41岁的中国女性,患有静止期强直性脊柱炎,出现了日益严重的复发性背痛。胸腰段交界处触诊时有局部压痛。X线片和计算机断层扫描显示T12/L1假关节形成。进行了假关节切除术,随后进行了脊柱前后融合术,效果良好。本文讨论了该并发症的临床特征、发病机制和治疗方法。强调了强直性脊柱炎假关节的影像学表现。

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