不典型的脊椎体应力骨折在扩散性异常性骨超静止症的设置中
Fielding S Fischer1, Austin T Gregg1, Arvin B Kheterpal1,2
1Harvard Medical School, Boston, MA, USA.
Skeletal radiology
|March 21, 2025
概括
扩散性异常性骨架强症 (DISH) 可能导致不寻常的脊椎压力骨折. 在成像中识别这些不典型的骨折对于预防脊柱不稳定性和潜在的神经损伤至关重要.
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:
- 扩散性异常性骨架强症 (DISH) 是一种非炎症性脊柱关节炎.
- DISH导致桥梁骨化和骨质细胞,可能导致脊髓融合和骨折风险增加.
研究的目的:
- 在患有DISH的患者中报告两例不寻常的脊椎体应力骨折.
- 突出这些骨折的成像特征和潜在的临床意义.
主要方法:
- 两名患有DISH和脊椎骨折的患者的病例报告.
- 审查CT和MR成像发现,包括骨折形态,硬化和骨髓.
主要成果:
- 两名DISH患者出现了亚急性,非典型的脊椎体应力骨折 (T6和L2).
- 影像检查显示前脊椎身体骨折不完整,周围有硬化和骨髓胀,与压力骨折一致.
- 这些骨折在DISH的设置中以前没有报告过.
结论:
- 非典型的脊椎体应力骨折可能发生在DISH的设置中.
- 放射科医生应该识别这种模式,以防止进展到完全骨折和脊柱不稳定.
- 早期识别是避免潜在神经系统并发症的关键.
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