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脊椎骨骺发育不良是一种遗传性软骨发育异常。我院遇见2例,且系同胞兄弟,现结合有关文献报道如下。 患者兄20岁,弟17岁,皆因个于矮小及腰背疼痛来诊。查体:身高约1.4米,四肢相对略长,智力尚可,各种实验室检查均属正常。 X线检查:腰椎正侧位片示椎体变扁,前部明显,前后横径均大,前后缘中后部驼峰样隆突,椎间隙明显变窄,脊椎呈撂叠厚饼状,侧位示二次骨化中心发育障碍,椎体呈横置花瓶状,椎间隙最窄处居椎体中后部,见细条状和边缘不正的透光影,长约2～3 cm,厚2～3mm。另椎体驼峰样隆起部骨皮质硬化并融合,以T_(12)-L_1间及L_1
Spinal epiphyseal dysplasia is a hereditary dyschondroplasia. Our hospital met two cases, and the siblings, now combined with the relevant literature reported below. 20-year-old brother, younger brother 17 years old, all because of a short and low back pain visit. Physical examination: about 1.4 meters tall, relatively longer limbs, intelligence is acceptable, all kinds of laboratory tests are normal. X-ray examination: the lumbar posterior lateral film showed flat vertebral body, the front of the obvious, before and after the transverse diameter were large, anterior and posterior edge of the hump-like kyphosis, intervertebral space was significantly narrowed, Position showed secondary ossification center dysplasia, transverse vertebral vase-like, intervertebral space at the narrowest vertebral body in the back, see thin strips and the edge of the translucent shadow, about 2 ~ 3 cm, thickness 2 ~ 3mm. Another vertebra hump-like cortical sclerosis and fusion, with T_ (12) -L_1 and L_1