Summary
A 41-year-old male with a 20-year history of classical ankylosing spondylitis, psoriasis and seropositive, nodular erosive rheumatoid arthritis presented with a 12-month history of thoracolumbar junction pain following minor trauma. A pseudoarthrosis was noted at the T11/12 level on plain radiographs and tomograms. A gallium scan showed no increased isotope uptake, and a computed tomogram (CT) revealed no evidence of a paraspinal collection. Conservative management including cast immobilisation and local radiotherapy was ineffective, and spinal fusion was required. A typical Andersson lesion was found at operation. The diagnostic and therapeutic problems of such discovertebral lesions are discussed.
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Arnold, M.H., Brooks, P.M., Ryan, M. et al. A destructive discovertebral lesion: Septic discitis, ankylosing spondylitis, or rheumatoid arthritis ?. Clin Rheumatol 8, 277–281 (1989). https://doi.org/10.1007/BF02030087
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DOI: https://doi.org/10.1007/BF02030087