查詢結果分析
來源資料
頁籤選單縮合
題名 | 僵直性脊椎炎的脊椎骨折=Spinal Fractures in Ankylosing Spondylitis |
---|---|
作者姓名(中文) | 王憶芬; 鄧木火; 楊明祥; 劉峻成; 陳健文; 姜仁惠; 張政彥; | 書刊名 | 中華放射線醫學雜誌 |
卷期 | 31:5 民95.10 |
頁次 | 頁227-235 |
分類號 | 416.61 |
關鍵詞 | 僵直性脊椎炎; 電腦斷層攝影; 磁振造影; 脊椎骨折; Ankylosing spondylitis; Computed tomography; Magnetic resomen imaging; Spinal fracture; |
語文 | 中文(Chinese) |
中文摘要 | 僵直性脊椎炎患者的脊椎活動會受到限制且逐漸變型,最嚴重的併發症是脊椎骨折。本研究的目的在分析僵直性脊椎炎脊椎骨折的影像特徵,早期正確的診斷以降低患者的殘障率。 我們依磁振造影 (MRI)2001年5月到2005年1月的紀錄及病患的病史回溯性調查,共收集16個診斷為僵直性脊椎炎脊椎骨折的病例。每位患者都有傳統X光素片,十位有電腦斷層攝影 (CT),其中六位有多切面重組螺旋電腦斷層 (3D-CT)。我們檢視他們脊椎骨折侵犯的結構和影像表現。 研究的結果顯示有四位患者是頸椎骨折,十二位患者是胸腰椎的骨折。有十五位患者是前中後三個脊柱都侵犯的骨折。下列骨折表現可以在這些病患的脊椎骨折發現:椎間盤變寬、隱式骨折、缺血性壞死、前縱韌帶撕裂傷、後縱韌帶撕裂傷、脊索變形、假關節、椎腳骨折、脊關節面骨折、頸椎胸椎的骨脊棘骨折、後脊柱的任何骨折、前方開口式扇形骨折、真空現象、外傷性脫位等等。 這類患者因為脊椎僵硬和骨質流失,易發生前中後三個脊柱均侵犯的脊椎骨折,脊椎不穩定、脊索受傷和神經學併發症的機會提高。 |
英文摘要 | Patients with ankylosing spondylitis (AS) tend to present with restriction of spinal movement and progressive deformity. The most serious complication of the spinal disease is spinal fracture. The purpose of our investigation was to analyze the imaging’ s manifestations of spinal fractures in patients with AS, to facilitate early correct diagnosis for reduction of its morbidity. Sixteen cases of AS with spinal fractures were identified in MR imaging files between May 2001 and Jan 2005. Conventional radiographs were available in all patients, and CT scans in 10, 3D-reconstructed CT in 6. The clinical histories and imaging manifestations of spinal fracture were carefully reviewed. Our results showed locations of spinal fracture were cervical spine (4 cases) and thoracolumbar spine (12 cases) . The 3 columns of the spine were involved in 15 patients. There were various imaging appearances of spinal fracture in AS, including widening of disc space, occult fracture, avascular necrosis, tearing of the anterior longitudinal ligament, tearing of the posterior longitudinal ligament, cord deformity, pseudoarthrosis, pedicle fracture, fracture of facet joint, any fracture in the posterior column, anterior opening wedge fracture, vacuum phenomenon, traumatic spondylolisthesis, etc. In conclusion, with rigidity of spinal column and osteoporosis, there is increasing incidence for 3-column vertebral fracture, instability, cord injury and neurological complication in an ankylosed spine. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。