Orthopedics & Traumatology
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
Two cases temporarily diagnosed as rheumatic spondylitis
Y. Ushui
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1973 Volume 22 Issue 2 Pages 136-141

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Abstract
One case was diagnosed as osteomyelitis because of severe lumbago, conspicuous inflamatory findings and X-ray findings showing the remarkable excessive formation of osteophyte of the first vertebral body through fifth lumbal vertebre and the bone destruction likelesion on the anterior potion of the forth and fifth lumbar vertebral bodies. Although the antibiotics therapy had no responsive effect upon, the cortcosteroid and the anti-inflamatory antalgic agents therapy had dramatically effect upon the disapperance of symptome of this case. Comparing with the criteria of ankylosing spondylitis, the X-ray film of this case did not show the changes of apophyseal and iliosacral joints which thought to be recognized as the very important point. Othercase showed the lumbago and the conspicuous inflamatory findings, also the X-ray findings showed only slight formation of osteophyte of the anterior portion of vertebral body of the third and forth lumbar vertebra but the narrow of intervertebral space and the destruction-figur of bone. Now we have been taking care of this patient using the therapy of anti-inflamatory antalgic agents, and he is getting a good clinical couse. In this case, also the pathological change was not found atapophyseal and iliosacral joints. Two cases were simlar to the rheumatic disease rather than the infectious disease on the therapeutics. But these cases showed buiet different from the ankylosing spondylitis.
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© West-Japanese Society of Orthopedics & Traumatology
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