資源描述：
《結核性脊柱炎影像學診斷.pdf》由會員上傳分享，免費在線閱讀，更多相關內容在教育資源-天天文庫。
1、MarissaHeller,HMSIVGillianLieberman,MDJanuary2003TuberculousSpondylitis(a.k.a.Pott’sDisease)MarissaHeller,HarvardMedicalSchoolYearIVGillianLieberman,MDMarissaHeller,HMSIVGillianLieberman,MDOurPatientS.T.?82yearoldmalefromChina?PMH:–s/pbrachytherapyforprostatecancerin1997–
2、h/opulmonaryTBasateenager,treatedwithChinesemedicine?HPI:–3monthhistoryofprogressivelowerbackpain–Outsidelumbo-sacralspinefilmsreveal:?“milddegenerativechanges&stableL2compressionfracture”?A/P:lumbarspondylosis&stableL2compressionfx–Daypro600mgPRN–Exercise–Bracing2Marissa
3、Heller,HMSIVGillianLieberman,MDAnatomyofSpineCervicalvertebrae(7)Thoracicvertebrae(12)Lumbarvertebrae(5)Sacrum3FromNetter,Frank.AtlasofHumanAnatomy.2ndedition.Novartis,1997.MarissaHeller,HMSIVGillianLieberman,MDAnatomyofLumbarVertebraVertebralbodyPedicleTransverseProcessL
4、aminaSpinousProcess4FromNetter,Frank.AtlasofHumanAnatomy.2ndedition.Novartis,1997.MarissaHeller,HMSIVGillianLieberman,MDAnatomyofParaspinalMusclesVertebralBodyofL2PsoasmuscleTransverseprocessSpinousprocessofL1Erectorspinaemuscle5FromNetter,Frank.AtlasofHumanAnatomy.2ndedi
5、tion.Novartis,1997.MarissaHeller,HMSIVGillianLieberman,MDDDxforLowBackPaininS.T.?MetastaticProstateCancer?LumbarSpondylosis(degenerativechanges)?MusculoskeletalTuberculosis?Other:6FromLehrichJR,KatzJN,SheonRP.ApproachtotheDiagnosisandEvaluationofLowBackPaininAdults.UpToDa
6、te,online10.1.2002.MarissaHeller,HMSIVGillianLieberman,MDLumbo-sacralfilmsforS.T.L1L1L2L2CalcifiedAortaDiverticulaewithbariumBothImagesFromBIDMC,Boston,MA7SeedimplantsMarissaHeller,HMSIVGillianLieberman,MDDiagnosisofS.T.?FirstDiagnosis:LumbarspondylosiswithastableL2compre
7、ssionfracture?However,duetohistoryofprostatecancer,bonescanandCTwereperformedtoruleoutmets…?BonescanrevealedincreasedtraceractivityattheL1/L2discspaceinvolvingtheinferiorL1endplateandsuperiorL2endplate?CTrevealednoevidenceofrecurrentprostatecancer,butsomeunexpectedfinding
8、s…8MarissaHeller,HMSIVGillianLieberman,MDCTforS.T.PsoasabcessAcutedestructivechangesinL1-L2Mothe
