Abstract:
STUDY DESIGN:A case of destructive spondyloarthropathy was reported. OBJECTIVES:To describe the rapid destruction of intervertebral disc and vertebral body as a consequence of destructive spondyloarthropathy in a patients with end-stage renal disease receiving hemodialysis. SUMMARY OF BACKGROUND DATA:An important facet of this case is that the serial radiographs provide key information about the rapid nature of dialysis associated destructive spondyloarthropathy, a condition which has been increasingly recognized over the last 2 decades. METHODS:The clinical and radiologic features of a 55-year-old dialysis patient with destructive spondyloarthropathy are herein detailed. Her serial radiographs and magnetic resonance images have implications both for our understanding of the underlying destructive process and its clinical evaluation. RESULTS:Serial lateral lumbar spines illustrated that the destructive process started at the leading edge of the endplate of vertebral body, closely followed by adjacent intervertebral disc destruction that appeared in parallel with vertebral body bone resorption. CONCLUSIONS:A case of dialysis-associated destructive spondyloarthropathy was reported, with key information about its rapid nature being provided by serial radiographs.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Chow KM,Griffith JF,Fung KY,Szeto CCkeywords:
subject
Has Abstractpub_date
2005-01-01 00:00:00pages
E31-3issue
1eissn
0362-2436issn
1528-1159pii
00007632-200501010-00032journal_volume
30pub_type
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