SENILE ANKYLOSING HYPEROSTOSIS OF THE SPINE
SENILE ANKYLOSING HYPEROSTOSIS OF THE SPINE
复制标题
DOI：
10.1136/ard.9.4.321
复制
发表时间：
1950-01-01
影响因子：
27.4
通讯作者：
ROTESQUEROL, J
中科院分区：
文献类型：
--
作者：
FORESTIER, J;ROTESQUEROL, J
我们注意到一种发生在老年人中的强直性脊柱疾病，其起病无痛，临床、病理和放射学特征与强直性脊柱炎不同。文献中对解剖标本的一些描述似乎与我们发现的相似，但尚未发表关于该主题的临床或放射学研究。 Leri (1904) 描述了一名患者脊柱的病理变化，该患者患有一种病症，Marie 和 Astie (1897) 给该病症起了一个相当不令人满意的名称：“遗传性外伤性 Bechterew 后凸”，这些与我们的观察结果一致；但在莱里的病例中，患者是一位老人，因跌倒而出现了库梅尔-韦纳伊型的角状后凸。 Meyer 和 Forster (1938) 描述了一种类似的解剖学状况，名为“念珠状骨质增生”，影响背脊右侧。 Oppenheimer (1942) 注意到老年人的椎骨韧带有一些骨化，但关节面并未受累。这些患者有足够的椎骨活动度并且没有任何症状。他认为这些特征属于与强直性脊柱炎相关的骨化类型。 Lacapere (1949) 在他对干骨中脊柱骨赘病的研究中经常提到他称之为“脊柱骨质增生症”的增生，这个术语可能会导致与 Leri 以该名称描述的疾病相混淆。 Lacapere 给出的解剖学描述与其他作者以及此处介绍的内容大致一致。 目前的调查 对 9 个病例的临床和放射学研究，结合两个标本的尸检结果，使我们能够阐明一些临床、病理和放射学特征，并形成脊柱强直性疾病中特定病症的图片。
Our attention has been drawn to an ankylosing disease of the spine developing in old people, with a painless onset and clinical, pathological, and radiological features distinguishing it from ankylosing spondylitis. Some descriptions of anatomical specimens in the literature seem similar to those we have found, but no clinical or radiological studies on this subject have been published. Leri (1904) describes pathological changes in the spine of a patient suffering from a condition to which Marie and Astie (1897) gave the rather unsatisfactory name of" heredo-traumatic kyphosis of Bechterew", and these coincide with our observations; but in Leri's case the patient, an old man, had an angular kyphosis of the Kummel-Verneuil type consequent upon a fall. Meyer and Forster (1938) have described a similar anatomical condition under the name of" moniliform hyperostosis" affecting the right side of the dorsal spine. Oppenheimer (1942) noticed some ossification of vertebral ligaments in old people without involvement of the joint facets. These patients had adequate vertebral mobility and no symptoms. He considered that these features belonged to the type of ossification associated with ankylosing spondylitis. Lacapere (1949) in his study of osteophytosis of the spine in dried bones often mentions outgrowths which he calls" melorheostosis of the spine", a term that may lead to confusion with the disease described under this name by Leri. The anatomical description given by Lacapere coincides roughly with those of the other writers and also with that here presented.Present Investigations The clinical and radiological study of nine cases, combined with necropsy findings in two specimens, has enabled us to set out some of the clinical, pathological, and radiological features, and to form a picture ofa specific condition among the ankylosing diseases of the spine.