Destructive spondyloarthropathy of the cervical spine in long-term hemodialyzed patients: a five-year clinical radiological prospective study
| Autor: | Luigi Tazza, Alfonso Cerase, Muraly Sundaram, Nicola Magnavita, Antonio Maria Leone, Pasquale Marano |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Spondylodiscitis medicine.medical_specialty Spondyloarthropathy Radiography medicine.medical_treatment Basilar invagination Spinal Osteophytosis Renal Dialysis medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Prospective cohort study Aged Chronic Kidney Disease-Mineral and Bone Disorder Analysis of Variance medicine.diagnostic_test business.industry Magnetic resonance imaging Middle Aged medicine.disease Magnetic Resonance Imaging body regions Orthopedic surgery Cervical Vertebrae Kidney Failure Chronic Female Hemodialysis business Nuclear medicine |
| Zdroj: | Skeletal Radiology. 30:431-441 |
| ISSN: | 1432-2161 0364-2348 |
| DOI: | 10.1007/s002560100389 |
| Popis: | To describe the radiographic features and progression of cervical spine destructive spondyloarthropathy (DSA) in hemodialyzed patients, and to evaluate the relationship between this disease and patient characteristics, biochemical values, and hemodialysis duration. Standard radiographs, and lateral flexion and extension views of the cervical spine, were performed annually for 5 years in 31 hemodialyzed patients who were divided into three groups at the commencement of the study: those showing (I) DSA, (II) vertebral rim erosions (VRE) without DSA, and (III) absence of DSA and VRE. Magnetic resonance (MR) imaging and computed tomography (CT) were performed in seven and two patients respectively. The imaging features were evaluated for the presence and progression of spondyloarthropathy and correlated with clinical and biochemical variables. Statistical analysis was performed using one-way analysis of variance. The duration of hemodialysis appeared to be the main predictive factor (P=0.0003) for DSA, which was found in six patients (19%). DSA was found to correlate with higher levels of beta2-microglobulin (P |
| Databáze: | OpenAIRE |
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