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Operative Treatment of Specific and Unspecific Spondylitis of the Thoracic Spine
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über das Auftreten des Kompressionssyndroms im Liquor cerebrospinalis bei Spondylitis tuberculosa
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Kosten-Nutzen-Analyse einer Therapie der ankylosierenden Spondylitis (Morbus Bechterew) mit Radiumchlorid [224Ra]
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Ventraler Wirbelk?rperersatz bei Spondylitis der Lendenwirbels?ule
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Adjuvante dorsale Stabilisierung der thorakalen und lumbalen Wirbels?ule bei tuberkul?ser Spondylitis
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| 10 cases with eosinophilic granuluma of the vertebrae proved by surgery and patholo- gy is reported.oThe clinical manifestations were kyphosis,paralysis,pain and tenderness of vertebrae.X—ray film revealed osteolytic destruction and collapse of vertebral body with paravertebral soft tissue shadow.The last diagnosis of the disease depend on pathologic examination.Differential diagnosis from tuberculosis of the vertebrae, mentastatic tumors,purulent spondylitis,osteochondritis of the vertebrae and leukemia... 10 cases with eosinophilic granuluma of the vertebrae proved by surgery and patholo- gy is reported.oThe clinical manifestations were kyphosis,paralysis,pain and tenderness of vertebrae.X—ray film revealed osteolytic destruction and collapse of vertebral body with paravertebral soft tissue shadow.The last diagnosis of the disease depend on pathologic examination.Differential diagnosis from tuberculosis of the vertebrae, mentastatic tumors,purulent spondylitis,osteochondritis of the vertebrae and leukemia were disc-ussed on the x—ray and clinical features. | 本文报告10例经手术病理证实的脊椎嗜酸性肉芽肿。该病的临床表现有脊柱后凸,瘫痪,疼痛和压痛。X 线片可见椎体溶解破坏和压缩,伴有椎旁软组织影。确诊有赖于病理检查。根据 X 线和临术特征讨论了与脊椎结核、转移性骨肿瘤、化脓性脊椎炎、椎体骨软骨炎及白血病的鉴别诊断。 | 214 patients with ankylosing spondylitis (AS) was reviewed radiologically and the CT scan of sacroiliac joints was performed in 11 cases. Sacroiliac joints (100%), spine (74.8%) and hip (37.9%) were primarily involved.Other peripheral joins were involved only 6 cases.In 33 cases of juvenile ankylosingspondylitis (JAS), hip involvement occured in 75.8% while lumbar spine in 48.5% only. Rank correlation analysis and following radiological investigation showed that the lesion of lumbar spine, hip and sacroiliac... 214 patients with ankylosing spondylitis (AS) was reviewed radiologically and the CT scan of sacroiliac joints was performed in 11 cases. Sacroiliac joints (100%), spine (74.8%) and hip (37.9%) were primarily involved.Other peripheral joins were involved only 6 cases.In 33 cases of juvenile ankylosingspondylitis (JAS), hip involvement occured in 75.8% while lumbar spine in 48.5% only. Rank correlation analysis and following radiological investigation showed that the lesion of lumbar spine, hip and sacroiliac joints progressed synchronously. In other word,the activity of sacroilitis could basically reflect the activity of the lesion of lumbar spine and hip. The CT scan of sacroiliac joints showed the lesion more clear than plain film. It may be a good method on observing the activity of the disease. | 本文分析214例强直性脊柱炎(AS)的X线表现,其中11例行骶髂关节CT扫描。病变主要累及骶髂关节(100％)、次为脊柱(74.8％)和髋关节(37.9％),其他周围关节炎仅6例,23例有附着病(10.7％)。幼年发病者(JAS)易累及髋关节(75.8％),较少侵犯腰椎(48.5％),等级相关分析和X线动态观察表明:腰椎和髋关节病变与骶髂关节炎同步发展,骶髂关节炎的活动基本上可反映腰椎和髋关节病变的活动。骶髂关节炎CT扫描比平片显示更清晰。 | The CT findings of 30 cases with tuberculosis of the spine were reviewed. The characteristic CT features were erosion of the end—plate, central punched—out bony destruction with marginal sclerosis and multiple tiny sequestra within the bony cavities. Moreover, the chronic inflammatory processes such as focal bone condensation and reparative osteopytes also would be noted. CT could determine the extent of the paraspinal or/and intrathecal abscesses precisely. Authors believe that CT is superior to conventional... The CT findings of 30 cases with tuberculosis of the spine were reviewed. The characteristic CT features were erosion of the end—plate, central punched—out bony destruction with marginal sclerosis and multiple tiny sequestra within the bony cavities. Moreover, the chronic inflammatory processes such as focal bone condensation and reparative osteopytes also would be noted. CT could determine the extent of the paraspinal or/and intrathecal abscesses precisely. Authors believe that CT is superior to conventional radiography in providing a specific diagnosis of the early or suspicious tuberculous spondylitis or spondylodiscitis. The differential diagnosis, indication and limitation were discussed. | 本文介绍30例脊椎结核的CT表现。在CT图上可以见到反映本病病理基础的终板骨毁蚀、中心性穿凿状骨破坏、局限性骨硬化和破坏区内死骨形成。作者认为这些征象对诊断脊椎结核具有特征性。CT还能显示因慢性骨结核感染造成的局限性骨凝缩和修补性骨赘,能精确地确定椎旁和椎管内脓肿的范围。作者认为CT在诊断早期和可疑结核,优于常规放射。作者对鉴别诊断、指征和限度,作了讨论。 | | | | << 更多相关文摘 |
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