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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1977-3-31
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pubmed:abstractText |
In three cases of rheumatic spondylitis, fracture across the disc of an ankylosed spinal segment (C5-C6, D7-D8, and D12-L1 respectively) resulted in rapid development of a discopathy with destruction of the adjacent vertebral bodies. In one of these cases, surgical exposure of the focus permitted anatomical study of the lesion; the changes that had developed after the fracture were inflammatory in appearance, which at first suggested infection by non-specific micro-organisms, an assumption that was rapidly abandoned. This misleading histological appearance largely explains why these destructive discopathies in spondylitis have long been regarded as a consequence of the rheumatic process itself. A review is presented of the arguments which suggest that they have, in fact, a mechanical pathogenesis, often determined by a fracture. From this it may be concluded that the treatment of choice is temporary immobilization in moderate cases and surgery with transplantation in complicated or unstable cases.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0035-2659
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
44
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
17-25
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:834953-Aged,
pubmed-meshheading:834953-Bone Resorption,
pubmed-meshheading:834953-Female,
pubmed-meshheading:834953-Fracture Fixation,
pubmed-meshheading:834953-Fractures, Bone,
pubmed-meshheading:834953-Fractures, Cartilage,
pubmed-meshheading:834953-Fractures, Spontaneous,
pubmed-meshheading:834953-Humans,
pubmed-meshheading:834953-Intervertebral Disc,
pubmed-meshheading:834953-Male,
pubmed-meshheading:834953-Middle Aged,
pubmed-meshheading:834953-Pseudarthrosis,
pubmed-meshheading:834953-Spinal Diseases,
pubmed-meshheading:834953-Spinal Injuries,
pubmed-meshheading:834953-Spine,
pubmed-meshheading:834953-Spondylitis, Ankylosing
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pubmed:year |
1977
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pubmed:articleTitle |
[Discopathies after fractures and destructive vertebral lesions during rheumatismal pelvispondylitis].
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pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|