脊柱硬的并发症 脊柱硬的并发症
Filip M Vanhoenacker1,2,3,4, Charlotte Vanhoenacker1, Radhesh Lalam5
1Department of Radiology, AZ Sint-Maarten, Mechelen, Belgium.
Seminars in musculoskeletal radiology
|October 10, 2023
概括
脊柱硬状况,如脊柱炎,可能导致骨折,往往错过了最初的X射线. 快速的截面成像对于诊断这些不稳定的骨折和预防严重的神经并发症至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 类风湿病学 类风湿病学
背景情况:
- 脊柱的刚性状况,包括脊髓炎和扩散性异常性骨超静止症,存在独特的诊断挑战.
- 后纵带带的骨化是脊柱硬的不太常见但重要的原因.
研究的目的:
- 审查常见的原因和硬脊椎的成像发现.
- 详细介绍刚性脊柱急性骨折的病变发生和成像特征.
- 为了强调这些骨折的常规放射学诊断局限性.
主要方法:
- 关于刚性脊柱病因和骨折并发症的文献综述.
- 分析与脊髓炎,DISH和OPLL相关的成像发现.
- 讨论骨折检测挑战和诊断建议.
主要成果:
- 刚性脊柱的骨折往往是微妙的,很难在初始放射图上检测到,并且可能发生在轻微的创伤后.
- 这些骨折往往是不稳定的,带有神经损伤,发病率和死亡率的高风险.
- 传统放射学在检测这些骨折方面具有较低的负预测值.
结论:
- 刚性脊柱患者经历新的疼痛需要迅速的横截面成像 (如CT或MRI) 由于错过骨折的高风险.
- 刚性脊柱骨折的早期和准确诊断对于及时管理和减轻严重后果至关重要.
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