Musalatov K A, Kolesov V V
Department of Traumatology, Orthopecs and Military-Field Surgery, MMA of IM Sechenov.
Khirurgiia (Mosk). 1997(8):61-3.
25 patients with intervertebral osteochondritis (11-cervical, 5-thoracic, 9-lumbar) at the age of 30-70 years are analysed. Clinical features of osteochondritis locafed in different segments of the spine, are described. The fact that at the early stages of it's development, the disease is "X-ray negative", is stressed. The radioisotopic examination of the spine is highly effective in diagnosis of early stages of infective-inflammatory process of the intervertebral disks. The roentgenological characteristics of different stages of the disease are provided. Conservative methods, including antibiotics, bedding, orthopaedic methods are most important in the treatment of intervertebral osteochondritis. Surgical treatment is indicated in case of spine compression and instability of a damaged segment of the spine. In case of a proper diagnosis and adequate treatment the outcome is favorable.
对25例年龄在30至70岁之间患有椎间骨软骨炎的患者（11例颈椎、5例胸椎、9例腰椎）进行了分析。描述了位于脊柱不同节段的骨软骨炎的临床特征。强调了在疾病发展的早期阶段，该疾病是“X线阴性”这一事实。脊柱放射性同位素检查在诊断椎间盘感染性炎症过程的早期阶段非常有效。提供了该疾病不同阶段的放射学特征。保守治疗方法，包括使用抗生素、卧床休息、矫形方法，在椎间骨软骨炎的治疗中最为重要。在出现脊柱压迫和受损脊柱节段不稳定的情况下，需进行手术治疗。如果诊断正确且治疗得当，预后良好。
