Dysplastic deformities of the vertebral segments in osteochondropathy

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Abstract

Roentgenologic features for diagnosis of thoracic, thoracolumbar and lumbar osteochondropathy were analysed in 250 patients, aged 11-44. The following dysplastic deformities of vertebral motion segments were detected: dysplastic deformities of intervertebral disks and vertebral bodies; dysplasia of vertebral arches; dysplasia of intervertebral joints; dysplastic deformities of transversal processes. Data obtained allow to confirm that spine osteochondropathy (Sheuermann's disease) is a dysplastic process the nature of which is the structural abnormality of the endplates and concomitent disturbance in vertebral body growth plates. Detected dysplastic deformities in vertebral segments may be either of congenital origin or acquired ones resulted from morphogenesis disorder.

About the authors

G. H. Gruntovsky

Institute of Orthopedics and Traumatology. M.I. Sitenko

Author for correspondence.
Email: info@eco-vector.com
Ukraine, Kharkov

V. A. Kolesnichenko

Institute of Orthopedics and Traumatology. M.I. Sitenko

Email: info@eco-vector.com
Ukraine, Kharkov

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Supplementary files

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2. Fig. 1. Dysplastic deformity of the L3, L4 vertebral bodies (axially elongated bodies).

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3. Fig. 2. Dysplastic deformity of the L1, L2 vertebral bodies (biconvex endplates).

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4. Fig. 3. Patient K. Dysplastic deformation of the vertebral bodies. a — concave-convex endplates of L2-L5 vertebral bodies at 8 years of age; b — signs of osteochondropathy in segments L2-L4 at the age of 13.

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5. Fig. 4. Hyperplastic deformity of the articular processes and arches of the vertebrae in the L1-L2, L2-L3 vertebral segments with signs of osteochondropathy in the form of a wedge-shaped deformity of the vertebral bodies and Schmorl's hernias.

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