A DESTRUCTIVE DISCOVERTEBRAL LESION - SEPTIC DISCITIS, ANKYLOSING-SPONDYLITIS, OR RHEUMATOID-ARTHRITIS
A DESTRUCTIVE DISCOVERTEBRAL LESION - SEPTIC DISCITIS, ANKYLOSING-SPONDYLITIS, OR RHEUMATOID-ARTHRITIS
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DOI：
10.1007/bf02030087
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发表时间：
1989-06-01
影响因子：
3.4
通讯作者：
FRANCIS, H
中科院分区：
文献类型：
--
作者：
ARNOLD, MH;BROOKS, PM;FRANCIS, H
一位41岁男性，有20年的典型强直性脊柱炎、牛皮癣和血清阳性的侵蚀性类风湿关节炎的病史，在轻微创伤后出现12个月的胸腰椎交界处疼痛病史。在平片和体层摄影中，T11/12节段出现假关节。镓扫描显示没有增加的同位素摄取，计算机断层扫描(CT)显示没有脊柱旁收集的证据。保守治疗包括石膏固定和局部放射治疗无效，需要脊柱融合术。术中发现典型的Andersson病变。讨论了此类椎体病变的诊断和治疗问题。
A 41-year-old male with a 20-year history of classical ankylosing spondylitis, psoriasis and seropositive, nodular erosive rheumatoid arthritis presented with a 12-month history of thoracolumbar junction pain following minor trauma. A pseudoarthrosis was noted at the T11/12 level on plain radiographs and tomograms. A gallium scan showed no increased isotope uptake, and a computed tomogram (CT) revealed no evidence of a paraspinal collection. Conservative management including cast immobilisation and local radiotherapy was ineffective, and spinal fusion was required. A typical Andersson lesion was found at operation. The diagnostic and therapeutic problems of such discovertebral lesions are discussed.