Hemispherical spondylosclerosis - a polyetiologic syndrome

Journal Article · Sun Nov 01 00:00:00 EST 1981 · Skelet. Radiol.; (United States)

DOI:https://doi.org/10.1007/BF00347373· OSTI ID:5514867

Dihlmann, W

Radiologic examination of 43 patients revealed 47 lesions of a type which we have termed hemispherical spondylosclerosis (HSS). This term describes and includes the following essential and possible radiologic findings of the disease: 1) Hemispherical (or dome - or helmet-shaped ) sclerosis of the vertebra above the intervertebral disk. Thus it is a supradiscal HSS. 2) One or more small erosions of the inferior end plate of the vertebra involved. 3) Periosteal apposition on the anterior border of the vertebra along the length of the sclerosis. 4) New bone formation on the inferior end plate. 5) Anterior vertebral osteophytes. 6) Narrowing of the disk space below the affected vertebra. HSS occurs not only as a sequel of degenerative disk disease, but also in bacterial (tuberculous and non-tuberculous) spondylitis, ankylosing spondylitis, osteoid osteoma, and metastases of neoplasms. The differential diagnosis between inflammatory and non-inflammatory pathogenesis and etiology of HSS is described. The characteristic shape of HSS, its sites of predilection (L4 >> L5 > L3), and the preponderance of female sufferers from this painful condition are due to factors which, as yet, remain unknown.

• OSTI ID: 5514867
• Journal Information: Skelet. Radiol.; (United States), Vol. 7:2
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
SKELETAL DISEASES
DIAGNOSIS
VERTEBRAE
BIOMEDICAL RADIOGRAPHY
BONE JOINTS
IMAGES
METASTASES
PATIENTS
SCINTISCANNING
BODY
COUNTING TECHNIQUES
DIAGNOSTIC TECHNIQUES
DISEASES
MEDICINE
NUCLEAR MEDICINE
ORGANS
RADIOISOTOPE SCANNING
RADIOLOGY
SKELETON
550602* - Medicine- External Radiation in Diagnostics- (1980-)
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