Journal Information
Vol. 10. Issue 2.
Pages 172 (January 1999)
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Vol. 10. Issue 2.
Pages 172 (January 1999)
Pseudoartrosis espinal. Presentación de dos casos estudiados con resonancia magnética
Spinal pseudoarthrosis. M.R.I. in two cases
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J. Domínguez, J.J. Rivas, R. Díez Lobato, F.S. Turanzas, P. González
Servicio de Neurocirugía. Hospital «12 de Octubre». Madrid
A. Blanco*, J.M. Millán*
* Sección de Neurorradiología. Hospital «12 de Octubre». Madrid
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Resumen

La pseudoartrosis espinal es una complicación infrecuente de la espondilitis anquilosante de larga evolución, si bien es la más importante desde el punto de vista biomecánico. Generalmente se manifiesta con dolor incapacitante, deformidad y en ocasiones, déficit neurológico. En el diagnóstico de estos pacientes influye de manera decisiva la sospecha clínica ya que los hallazgos tanto en radiografía convencional como en resonancia magnética (R.M.) pueden ser indistinguibles de los de una espondilitis infecciosa.

Se presentan dos casos de pseudoartrosis espinal en pacientes con espondilitis anquilosante de larga evolución que debutaron con clínica de compresión medular. Se discuten los hallazgos radiológicos y la actitud terapéutica.

Palabras clave:
Espondilitis anquilosante
Pseudoartrosis espinal
Tomografía computarizada
Resonancia magnética
Estabilización espinal
Summary

Spinal pseudoarthrosis, though infrequent, is the most important biomechanical complication of longstanding ankylosing spondylitis. It may often resuIt in disabling back pain, deformity and, occasionally, in neurological deficit. The appropriate diagnosis depends on clinical suspicion as both magnetic resonance and plain film findings can often be mistaken for an infectious diskitis.

We present two cases of spinal pseudoarthrosis in two patients with long-standing ankylosing spondylitis who presented with compressive myelopathy. The radiologic findings and the therapeutic options are discussed.

Key words:
Ankylosing spondylitis
Spinal pseudoarthrosis
Computed tomography
Magnetic resonance imaging
Spinal stabilization

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