Kɔnɔbaralabana suguya caman cogoyaw kuncɛlen

Kɔkolodimi bɛ kɛ farikolo ni kolotugudaw bɛɛ lajɛlen 2% fo 7% ye, banakisɛw, ɲɛgɛnw, ani a ka ca a la, banakisɛw fɛ. Kɔkolodimi bɛɛ tilancɛ ɲɔgɔn bɛ sɔrɔ kɔkolo la, a ka ca ni tila sabanan ye dɔɔni barajuru la, a tɔ bɛ sɔrɔ kɔkolo la.

Banakisɛ min bɛ wele ko Purulent Infection

A ka ca a la, kɔkolodimi (PS) bɛ sɔrɔ banakisɛ fɛ min bɛ jɛnsɛn joli fɛ, ni Staphylococcus aureus ye banakisɛ ye min ka teli ka kɛ, a ka ca a la a bɛ kɛ kɔkolo la, ani rezow tɛ kɛ ni kɛrɛnkɛrɛnnenya ni sɛgɛsɛgɛli ye bana daminɛ na. MRI min bɛ bonya, o ye fɛɛrɛ sugandilen ye kɔkolo banakisɛw sɛgɛsɛgɛli joona na; MRI bɛ kolotugudaw sɔgɔsɔgɔli jira ani ka kɔkolo farikolow, kɔkolo ni kɔkolo ni ɲɔgɔn cɛ disiki, ɲɛdawolo yɔrɔ, ani/walima a lamini farikolo yɔrɔ nɔgɔlenw ni kurukuruw bɛ sɔrɔ walima ni kurukuru tɛ minnu na, olu bɛ bonya fɔlɔ kɔkolo labanyɔrɔw kɛrɛfɛ.

Kɔlɔsili: (a) Kɔnɔbara kɔkanna jateminɛ min bɛ L4 -L3 disiki janya dɔgɔyali jira ani L4 sanfɛla laban tiɲɛni (tɛgɛ). 

(b) Kɔfɛla sɔgɔli nɔgɔman L3 la. L3 - L4 disiki tiɲɛni ni fɛn caman Changements erosives ka labanyɔrɔw kɛrɛfɛ (tɛgɛw). 

(c) Magnetic resonance (MR) ja min bɛ kɔkolo labanw yeli caman jira ani kɔkolo kolotugudaw kɛrɛfɛ taamasiɲɛ tɛ cogo la (tɛgɛ). Kɔkolo ɲɛfɛla yɔrɔ nɔgɔlenw bɛ kirin kosɛbɛ ani funu bɛ fɛn dɔw Changer. 

(d) Sagittal t1 pikiri kɛlen kɔfɛ jolisira fɛ, o bɛ taamasiɲɛ caman jira kolotugudaw la (dolow), taamasiɲɛ fanga bonyalen bɛ kolotugudaw yɔrɔ la ani kɔkolo yɔrɔ nɔgɔlenw ɲɛfɛ. Aw ye cɛmancɛ kanal (tɛgɛ) doncogo kɔlɔsi.

Sɔgɔsɔgɔninjɛ min bɛ sɔrɔ kɔkolo la

Sɔgɔsɔgɔninjɛ (TS), o ye kɔkolo banakisɛ ye min ka ca ni tɔw bɛɛ ye, n’o tɛ sɔgɔsɔgɔninjɛ ye, min bɛ sɔrɔ Gram-positive Mycobacterium tuberculosis fɛ, ani ja lajɛcogo minnu bɛ TS ni PS danfara, olu jiralen don ja in kɔnɔ:

Radiographie labanw bɛ kolo tiɲɛni jira, disiki janya dɔgɔyali ani farikolo yɔrɔ nɔgɔlenw kurukuruw ni farikolo yɔrɔ nɔgɔlenw lamini na walima ni u ma kɛ ni kalisi ye.

MRI la, t1 taamasiɲɛ dɔgɔman fanga danma ni ji-sɛgɛsɛgɛli fanga caman bɛ kɛ kɔkolo ɲɛfɛla farikolo la, wa a bɛ se ka tɛmɛ kɔkolo jukɔrɔla sira fɛ ka taa kɔkolo wɛrɛw la, a ka ca a la, disiki tɛ a la.

Kɔlɔsili: Cɛ min si bɛ san 65 la, ni (a) axiale ani (b) kɔkolo kurukuruw (dolow) ni septal ni wall enhancement (tɛgɛ finmanw).L3 fo S1 vertebral body enhancement. Disiki min bɛ kɔkolo ni kɔkolo ni ɲɔgɔn cɛ, o binna ni dɔ faraliba tɛ a la. Dural sac compression (tɛgɛ finman). (c) ct reconstruction image de L3 ka S1 kɔkolo farikolo tiɲɛni.

Brucella ka banakisɛfagalanw

Brucellosis ye zoonosis ye min bɛ sɔrɔ diɲɛ kɔnɔ, a bɛ sɔrɔ bacillus gram-negatif fɛ. A ka ca a la, a bɛ kɛ kɔkolo kan, kɛrɛnkɛrɛnnenya la L4.

Bana bɛ daminɛ kolotugudaw ni ɲɔgɔn cɛ disiki kolotuguda farikolo ɲɛfɛla la, wa a bɛ se ka kolotugudaw tiɲɛ. Paravertebral abscesses tɛ kɛ ka caya, wa u bonya ka dɔgɔn ka tɛmɛ TS kan. Kolotugudaw farikolo yɔrɔw bɛ to a cogo la.

Kɔlɔsili: Brucella lumborum banakisɛ, rezow bɛ kɔkolo kolotugudaw sklerose jira, kɔkolo kolotugudaw bɛ sɔgɔsɔgɔ ka taa ɲɛfɛ, tiɲɛni bɛ kɛ i n’a fɔ senna-taama cogo la min tɛ kɛ tuma bɛɛ kɔkolo ɲɛfɛla la, ani kolotugudaw bɛ kɛ kɔkolo ɲɛfɛla la.

Funteni banakisɛw

Kɔnɔnatumuw (FS) man ca, wa u ka teli ka ye banabagatɔw la minnu farikolo tangacogo ka dɔgɔn. Funteni caman bɛ se ka kɛ a la, i n’a fɔ Pseudomonas, Aspergillus, Bacillus ani Coccidioides. Barajuru ye yɔrɔ ye min ka teli ka kɛ, wa a ni TS bɔlen don, banakisɛfagalanw bɛ daminɛ kɔkolo ɲɛfɛla la, wa a bɛ se ka jɛnsɛn tuma dɔw la kɔkolow la minnu tɛ kɛrɛfɛ.

Kɔlɔsili: Banabagatɔ min ka coccidioidomycose bɛ a la, o ka sagittal image CT scan. Kolow joginda danmadɔ minnu tɛ ni sklerose dakunw ye, olu ye banakisɛ in taamasiɲɛw ye jiracogo la. T1 tiɲɛniba bɛ na ni kɔkolo binna ye. Hali ni kolo joginda ka bon, C7-T1 kɔkolo ni ɲɔgɔn cɛ yɔrɔ maralen don, fɛn dɔ yeli min kɛra kokisidiyoidomikosi (panɛli kinin fɛ) Sagittal MRT2WI banabagatɔ kelen in na, o bɛ C7-T1 kɔkolo ni kɔkolo cɛ yɔrɔ kalo marali dafa, ni T2 taamasiɲɛ nafama ye min b’a jira ko C6-C7 disiki sen bɛ a la joona. Kolotuguda joginda tun bɛ taa ka don kɔkolo jukɔrɔla kolo la min bɛ kɔkolo ɲɛfɛla farikolo ɲɛfɛ, o bɛ na ni ɲɛfɛla nɔgɔlenw banakisɛ ye IV. Yɛlɛmabana minnu bɛ sɔrɔ banakisɛw fɛ, olu jɛnsɛnna fo ka se hakɛ caman ma, o bɛ subgamentous suguya jɛnsɛncogo dɔn nɔgɔya la, o bɛ se ka kɛ sababu ye ka joginda caman sɔrɔ hakɛw la minnu tɛ kɛrɛfɛ.

Ankylosing Spondylitis (banakisɛfagalan min bɛ wele ko Ankylosing Spondylitis).

Ankylosing spondylitis (AS) ye bana basigilen ye min bɛ sɔrɔ farikolo tangalanw fɛ, a bɛ kɔkolo de minɛ fɔlɔ, wa a bɛ se ka kɛ sababu ye ka dimi basigilen jugumanba lase kɔkolo farali ma.

Gɛlɛya wɛrɛ min bɛ AS banabagatɔw la, o ye disiki bana danmadɔ sɔrɔli ye, wa ni ja lajɛra, AL bɛ se ka danfara don ni sɔgɔsɔgɔninjɛ funu ye, ni a bɛ kɛ ni yɔrɔ dɔw ye minnu bɛ kɔkolo kelen walima fila kɛrɛfɛ, disiki yɔrɔ dɔgɔyali, ani sklerose réactive yɔrɔw minnu bɛ kolotugudaw lamini.

Kɔlɔsili: Banabagatɔ min bɛ ni sɔgɔsɔgɔninjɛ ye, cɛ min si bɛ san 44 la, kɔdimi basigilen bɛ a la ani a lamagacogo dan ye. (a) barajuru ni (b) kɔkolo kolo finɛtiriw ka sagittal ct bɛ ligamentus syndesmose diffuse jira ɲɛfɛla longitudinal ligament (tɛgɛw) fɛ. Kɔnɔnatumuw ni kɔkolo ni ɲɔgɔn cɛ sɔgɔsɔgɔninjɛ fana bɛ kɛ koloci ni u farali ye ɲɔgɔn kan (tɛgɛw jiralen don). (c) Koronawirisi ja min bɛ kɔkolo hakɛ la, o bɛ kɔfɛfɛnw ni kɔkolo kolotugudaw faralen ɲɔgɔn kan (tɛgɛw).

Kolotugudaw ka bana (Syndrome de l’ostéomyélite).

SAPHO daɲɛ surun bɛ farikolo ni farikolo taamasiɲɛw faralen ɲɔgɔn kan (synovitis, acne, pustulosis, osteomalacia, ani osteomyelitis), ni barajuru ɲɛfɛla kogo (o la, sternoclavicular joints, costthoracic joints, ani sternoacetabular elbow joints) de ka teli ka kɛ, o kɔfɛ, kɔkolo ni cervical spine.A jiracogo minnu ka teli ka kɛ x-ray radiographs la, olu ye kɔkolo koloci ye ni a binna walima ni a binna, ka fara koloci ni paraspinal ossification kan.MRI ye ja lajɛcogo ye min ka gɛlɛn kosɛbɛ MRI ye ja lajɛcogo ye min ka gɛlɛn kosɛbɛ, wa a jiracogo kunbabaw ye kɔkolo taamasiɲɛw caman yeli ye minnu bɛ jɛnsɛn walima minnu bɛ kɛ yɔrɔ ye, olu ye kɔkolo taamasiɲɛ caman yeli ye ji-sɛgɛsɛgɛli sinsinniw kan ni kɔkolo sɔgɔli ye ani a tɛ kɛ cogo la min bɛ kɛ kɔkolo ni kɔkolo ni kɔkolo ni ɲɔgɔn cɛ disiki walima ɲɛfɛla labanyɔrɔw, ani farikolo yɔrɔ nɔgɔlenw ka ŋɛɲɛ.

Kɔlɔsili: Cɛ min si bɛ san 62 la, SAPHO ka bana bɛ a la. (a) Sagittal t2-weighted ani (b) computed tomography (CT) ja minnu bɛ ɲɛfɛla janyalen koloci jira (tɛgɛ nɛrɛmaw) Disiki walima paravertebral fluide tɛ fɛnba ye. L1 bɛ bila yɔrɔ wɛrɛ la kosɛbɛ degun kɔrɔ karilen kɔfɛ. (c) CT axiale bɛ ankylosis jira kinibolo kɔkolo kolotuguda la (dolow). (d) CT koronawirisi oblique (oblique coronal reconstruction) bɛ barajuru kɔkili sɔgɔsɔgɔninjɛ (ankylosis) jira (dolow nɛrɛma). (e) Kolow sɛgɛsɛgɛli min bɛ radiotracer tali jira kolotugudaw fila bɛɛ la minnu bananen don (dolow finmanw).

Spondyloarthropathie min bɛ sɔrɔ diyalizi fɛ

Dialyse-related spondyloarthropathy (DRS) ye bana caman yeli ye banabagatɔw la minnu bɛ joli segin furakɛli kuntaalajan na. A ka teli ka kɛ kɔnɔbara basigilen na wa a ka ca a la a bɛ kɛ ni kɔkolo ni kɔkolo cɛ yɔrɔ dɔgɔyali ye, ni labanyɔrɔw tiɲɛni ye, ni sɔgɔsɔgɔninjɛ tɛ, kolo kura sɔrɔli, kɔkolo kɔkanna banakisɛw/kurukuruw, ani yɔrɔ barika bonya.

Kɔlɔsili: Kolociba bɛ kɛ kɔkolo ni kɔkolo la. Kɔkolo 5 kolotugudaw ɲɛfɛla sanfɛla tiɲɛni ni a dakunw ka sɔgɔsɔgɔninjɛ (a jiralen don ni jiri bilenman ye). Kɛrɛfɛla sɔgɔsɔgɔninjɛ hyperplasia. Kɔnɔbara kiniyanfan kolotuguda tiɲɛni ni kɔkolo kɛrɛfɛla tiɲɛni ye, kɔnɔna kolo salen caman, ani yɔrɔ dɔw la minnu bɛ i n’a fɔ sɔgɔsɔgɔninjɛ farikolo yɔrɔw caya (a jiralen don ni jiribulu buluw ye).

Kɔlɔsili: MR fanga bonya : Kɔnɔbara 4/5 disiki kurulen ni kɔkolo kolotugudaw ye, ligamentum flavum ka caya, kɔkolo kanal ka dɔgɔya dɔɔni, ani kɔkolo foroko ɲɛfɛla da degun. Kɔnɔbara 5 kolotuguda farikolo bɛ dan ka kɛ fɛn ye min bɛ sɔgɔsɔgɔ ani a bɛ se ka ye i n’a fɔ T1 ni T2 WI degun tuluma taamasiɲɛ janw sɛrɛkiliw, wa a bonya bɛ ye fanga bonya kɔfɛ. Siginiden caman bɛ ye kɔkolo 5 ni kɔkolo 1 labanyɔrɔw jukɔrɔ ani kɔkolo kolotugudaw jukɔrɔ, taamasiɲɛ ka dɔgɔn T1WI kan ani taamasiɲɛ ka bon dɔɔni T2WI kan, ani fanga bɛ ye fanga bonya sɛgɛsɛgɛliw la (tɛgɛ bilenmanw). Farikolo nɔgɔlenw falenni ye kɔkolo ɲɛfɛla la, ani dɔ farali yelen don scan enhanced (tɛgɛ bulu) kan. Kɔnɔbara, kɔkili, kɔkolo ani senkɔni kunkolo kolo taamasiɲɛ minnu bɛ senkɔni fan fila bɛɛ la, olu ma fɛn jɛlen si jira, wa kɔnɔbara kɔnɔna ni kɛnɛma farikolo taamasiɲɛw tun bɛ cogo la, farikolo yɔrɔ jɛlenw ni kolotugudaw cɛsiraw tun bɛ cogo la, ni taamasiɲɛw tun tɛ u bonya ni u dɔgɔyali la.

Gout (Gout) min bɛ wele ko Spinal

Kɔkolodimi bɛ dɔn ni urati kristali monocristallines (MUCs) bilali ye kɔkolo la. Kɔkolodimi bɛ kɔkolo degun kosɛbɛ. arajolakalanw bɛ taamasiɲɛ kɛrɛnkɛrɛnnenw jira ani CT bɛ koloci kɛcogo jira ka ɲɛ ni sklerose dakunw ye. mri jiracogo tɛ kɛrɛnkɛrɛnnen ye.

Kɔlɔsili: CT plain scan bɛ kolotugudaw yɔrɔ dɔgɔyali ni joli siraw yɔrɔ tiɲɛnen ye fan fila fɛ. Arthrocentesis de ka kan ka kɛ walasa ka bana sɛgɛsɛgɛli dafa.

Neurospondylitis (banakisɛfagalanw) bɛ sɔrɔ

Neurogenic spondylitis (NS), o ye jolilabanaw ye minnu bɛ taa ɲɛ, o bɛ sɔrɔ dusukunnataw ni yɛrɛdɔnbaliya kɔfɛ. A sababu ka teli ka kɛ kɔkolo joginni ye min bɛ mɔgɔ tɔɔrɔ, o min bɛ kɛ 70% ye. A sababu wɛrɛw ye sukarodunbana ye, kɔkolodimi, ani farikolojidɛsɛ wɛrɛw i n’a fɔ farikolojidɛsɛ ani Guillain-Barré syndrome. K’a sababu kɛ barajuru ni kɔkolo cɛtigɛyɔrɔw jɔyɔrɔ ye girinya tali la, olu de ye yɔrɔw ye minnu ka teli ka kɛ.

NS taamasiɲɛw ye kolotugudaw ye, kolotugudaw ni kɔkolo ni ɲɔgɔn cɛ kolotugudaw ni ɲɔgɔndɛmɛbaliya min bɛ na ni kɔkolo farikolo sɔgɔsɔgɔli ye, labanyɔrɔ caman ni kolotugudaw sɔgɔli misɛnninw ka fara koloci lakanani kan sklerose la, ani fana farikolo yɔrɔ nɔgɔlenw ma.

Kɔlɔsili: Cɛ min si bɛ san 58 la, a kɔkolo bɛ ni senfagabana ye. (a) Sagittal ni (b) coronal computed tomographic reconstructions bɛ kɔkolo labanyɔrɔ caman jira ani articular synovial joint erosions (arrows) ni kolotugudaw ye. L2-L3 kɔkolo ni kɔkolo ni ɲɔgɔn cɛ disiki yɔrɔ tiɲɛni ni kɔkolo ni kɔkolo cɛ yɔrɔ bonya ye (dolow). (c) Sagittal ani (d) axial t2-weighted magnetic resonance sequences minnu bɛ L2-L3 kɔkolo ni kɔkolo cɛ yɔrɔ bonya dafa. fɛn caman bɛ yeli kɛ kɔkolo min bananen don kɔfɛ L2-L3-L4 la. Efusion fana bɛ kɛ farikolo yɔrɔ nɔgɔlenw na kɔfɛ ani ɲɛfɛ kɔkolo taabolo la (dolow).