结性脊柱炎患者的脊椎间融合部位:计算机断层扫描研究
Kenji Kishimoto1, Shuji Asai1, Mochihito Suzuki1
1Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Modern rheumatology
|July 25, 2023
概括
在结性脊柱炎中,脊椎间融合通常会影响胸部和椎,特别是胸部中部的后脊椎. 在这个患者队列中没有观察到腰椎脊柱融合.
科学领域:
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
背景情况:
- 化脊柱炎 (AS) 是一种慢性炎症性疾病,主要影响轴骨架.
- 脊椎间融合是AS的标志性放射特征,可能导致脊柱硬.
研究的目的:
- 调查结性脊柱炎患者在整个脊椎间的脊椎融合的患病率和分布.
- 确定在AS中最常受到融合影响的特定脊柱区域和脊椎水平.
主要方法:
- 对40名被诊断患有结性脊柱炎的患者的计算机断层扫描 (CT) 扫描进行了回顾性分析.
- 在五个部位 (前/后脊椎,囊关节,脊柱过程) 评估脊椎间融合,横跨部,胸部和腰部脊柱段.
主要成果:
- 在37.5%的患者中观察到脊椎间融合,主要是在胸部和/或宫区域,在腰椎没有发现融合.
- 后脊椎融合最常见于胸脊,超过一半的受影响患者显示Th4-Th5和Th7-Th8.8之间的融合.
- 患者的平均年龄为40.5岁,平均疾病持续时间为11.4年;55.9%的人具有白细胞抗原B-27阳性.
结论:
- 在结性脊柱炎中,脊椎间融合经常涉及胸部和椎脊柱,在很大一部分情况下省略腰部区域.
- 中间胸前后脊椎是结脊椎炎患者中最常见的脊椎间融合部位.
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