title: [The image of intravertebral somatic gaseous dissection. Report of 9 cases one of which has a triple localization and review of the literature].
abstract: We report a series of 9 cases of vertebral somatic gaseous dissection studied between 1978 and 1989. We find most of the characteristics established from the literature data: advanced age, possible medullar compression contrary to the vertebral compression by common osteoporosis, predilection for the dorso-lumbar junction, frequency of the osteoporosis, possibility of metabolic disorders, of occurrence after radiotherapy. The context of the occurrence and the paraclinical examinations of the whole have enabled us to eliminate, in this series, a malignant pathology. However, when there exists a doubt on a malignant origin, it is preferable to carry out a vertebral biopsy with a trocar. In fact, the image may not be pathognomonic of a benign vertebral osteoporosis. Finally, we give the first description of a triple localization of vertebral gaseous dissection.
authors.affiliation: Clinique Thérapeutique et Rhumatologique, Centre Hospitalier Universitaire Dupuytren, Limoges.
authors.forename: C
authors.initials: C
authors.lastname: Bonnet
authors.forename: N
authors.initials: N
authors.lastname: Rochet
authors.forename: A
authors.initials: A
authors.lastname: Martchenko
authors.forename: M
authors.initials: M
authors.lastname: Arnaud
authors.forename: P
authors.initials: P
authors.lastname: Bertin
authors.forename: R
authors.initials: R
authors.lastname: Treves
authors.forename: R
authors.initials: R
authors.lastname: Desproges Gotteron
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005740:Gases; D006801:Humans; D008297:Male; D008875:Middle Aged; D010020:Osteonecrosis / Q000000981:diagnostic imaging* / Q000209:etiology; D011859:Radiography; D013122:Spinal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology
chemical_list: D005740:Gases
vernacular_title: L'image de dissection gazeuse somatique intravertébrale. A propos de 9 observations dont une forme à triple localisation et revue de la littérature.