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Hemispherical spondylosclerosis — A polyetiologic syndrome

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Abstract

Radiologic examination of 43 patients revealed 47 lesions of a type which we have termed hemispherical spondylosclerosis (HSS). This term describes and includes the following essential and possible radiologic findings of the disease:

  1. 1)

    Hemispherical (or “dome-” or “helmetshaped”) sclerosis of the vertebra above the intervertebral disk. Thus it is a supradiscal HSS.

  2. 2)

    One or more small erosions of the inferior end plate of the vertebra involved.

  3. 3)

    Periosteal apposition on the anterior border of the vertebra along the length of the sclerosis.

  4. 4)

    New bone formation on the inferior end plate.

  5. 5)

    Anterior vertebral osteophytes.

  6. 6)

    Narrowing of the disk space below the affected vertebra.

HSS occurs not only as a sequel of degenerative disk disease, but also in bacterial (tuberculous and non-tuberculous) spondylitis, ankylosing spondylitis, osteoid osteoma, and metastases of neoplasms. The differential diagnosis between inflammatory and noninflammatory pathogenesis and etiology of HSS is described. The characteristic shape of HSS, its sites of predilection (L4≫L5>L3), and the preponderance of female sufferers from this painful condition are due to factors which, as yet, remain unknown.

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References

  1. Ackermann W, Schwarz GS (1958) Non-neoplastic sclerosis in vertebral bodies. Cancer 11:703

    Google Scholar 

  2. Ambrose GG, Alpert M, Neer CS (1966) Vertebral osteomyelitis. A diagnostic problem. JAMA 197:619

    Google Scholar 

  3. Begg AC (1954) Nuclear herniations of the intervertebral disc. Their radiological manifestations and significance. J Bone Joint Sur [Br] 36:180

    Google Scholar 

  4. Bénichou C, Guillien P, Le Goff P, Massare C, Lièvre J-A (1970) Discographie dans un cas de condensation vertébrale localisée. Rev Rhum Mal Osteoartic 37:246

    Google Scholar 

  5. Courtois C, Fallet GH, Vischer TL, Wettstein P (1980) Erosive spondylopathy. Ann Rheum Dis 39:462

    Google Scholar 

  6. Dihlmann W (1968) Ausgedehnte Wirbelkörpersklerosierung bei banaler Osteochondrose oder blande, nicht eitrige, sklerosierende Spondylitis? Fortschr Röntgenstr 108:767

    Google Scholar 

  7. Edeiken J, Hodes PJ (1975) Roentgen diagnosis of diseases of bone, Vol 2, 2nd edn. Williams and Wilkins, Baltimore, p 863

    Google Scholar 

  8. Firooznia H, Pinto RS, Lin JP, Baruch HH, Zausner J (1976) Chordoma: Radiologic evaluation of 20 cases. AJR 127:797

    Google Scholar 

  9. Garrè C (1893) Ueber besondere Formen und Folgezustände der akuten infektiösen Osteomyelitis. Beitr Klin Chir 10:241

    Google Scholar 

  10. Glimet T, Sibué M, Ryckewaert A, de Sèze S (1975) Les condensations vertébrales étendues des discopathies dégénératives. (Etude de 25 cas). Sem Hôp Paris 51:1199

    Google Scholar 

  11. Hilton RC, Ball J, Benn RT (1976) Vertebral end-plate lesions (Schmorl's nodes) in the dorsolumbar spine. Ann Rheum Dis 35:127

    Google Scholar 

  12. Hubbard DD, Gunn DR (1972) Secondary carcinoma of the spine with destruction of the intervertebral disk. Clin Orthop 88:86

    Google Scholar 

  13. Knetsch A (1967) Beitrag zur Osteochondrose. Fortschr Röntgenstr 107:811

    Google Scholar 

  14. Lagier R, Guelpa G, Gerster J-C (1979) Lumbar erosive intervertebral osteochondrosis. Anatomico-radiological study of a case. Fortschr Röntgenstr 130:204

    Google Scholar 

  15. Lagier R, Mac Gee W (1979) Erosive intervertebral osteochondrosis in association with generalized osteoarthritis and chondrocalcinosis. Anatomico-radiological study of a case. Z Rheumatol 38:405

    Google Scholar 

  16. Lowman RM, Robinson F (1966) Progressive vertebral interspace changes following lumbar disk surgery. AJR 97:664

    Google Scholar 

  17. Martel W, Seeger JF, Wicks JD, Washburn RL (1976) Traumatic lesions of the discovertebral junction in the lumbar spine. AJR 127:457

    Google Scholar 

  18. Martel W (1977) A radiologically distinctive cause of low back pain. Arthritis Rheum 20:1014

    Google Scholar 

  19. Pohl W, Kränzlein HG (1973) Über blande sklerosierende Spondylitiden. Fortschr Röntgenstr 119:352

    Google Scholar 

  20. Renier J-C, Bregeon Ch, Boutin J (1968) Les condensations vertébrales localisées. Étude de 37 observations; reflexions pathogéniques. Rev Rhum Mal Osteoartic 35:521

    Google Scholar 

  21. Resnick D, Niwayama G (1978) Intervertebral disc abnormalities associated with vertebral metastasis: Observations in patients and cadavers with prostatic cancer. Invest Radiol 13:182

    Google Scholar 

  22. Resnick D, Niwayama G (1978) Intravertebral disk hernations: Cartilaginous (Schmorl's) nodes. Radiology 126:57

    Google Scholar 

  23. Sauser DD, Goldman AB, Kaye JJ (1978) Discogenic vertebral sclerosis. J Can Assoc Radiol 29:44

    Google Scholar 

  24. Williams JL, Moller GA, O'Rourke TL (1968) Pseudoinfections of the intervertebral disk and adjacent vertebrae? AJR 103:611

    Google Scholar 

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Dihlmann, W. Hemispherical spondylosclerosis — A polyetiologic syndrome. Skeletal Radiol 7, 99–106 (1981). https://doi.org/10.1007/BF00347373

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