Botelho C H, Kali R K
Serviço de Patologia, Hospital SARAH, Brasília DF, Brasil.
Arq Neuropsiquiatr. 1996 Dec;54(4):608-17. doi: 10.1590/s0004-282x1996000400010.
The authors reviewed 312 cases of solitary and multiple osteochondromas seen in SARAH Hospital for the Locomotor System during a period of 13 years-from 1982 to 1994. They selected six cases of patients with osteochondromas of the spine, corresponding to 1.92% of the total number of diagnosed cases of this entity. The selected cases were submitted to roentgenographic examination that comprised plain roentgenograms, myelography, computerized tomography and, in one of them, magnetic resonance imaging. They were submitted to decompressive surgical procedures (including laminectomy) with exeresis of the lesions and posterior histopathological examination which confirmed the initial diagnostic hypothesis. This study also includes a review of the possible mechanisms implicated in the pathogenesis of the disease.
作者回顾了1982年至1994年这13年间在萨拉运动系统医院所诊治的312例孤立性和多发性骨软骨瘤病例。他们挑选出6例脊柱骨软骨瘤患者,占该疾病确诊病例总数的1.92%。所选病例均接受了包括普通X线片、脊髓造影、计算机断层扫描以及其中1例还接受了磁共振成像的X线检查。他们接受了减压手术(包括椎板切除术)以切除病变,并进行了术后组织病理学检查,证实了最初的诊断假设。本研究还包括对该疾病发病机制中可能涉及的机制进行综述。