[Radiological study of destructive spondyloarthropathy in patients receiving a long-term of hemodialysis].
Patients receiving long-term hemodialysis were examined radiologically twice at 7-years interval, in order to elucidate the natural history of destructive spondyloarthropathy (DSA). DSA is known as a serious spinal lesion characteristic to hemodialyzed patients. In this study, 239 patients receiving hemodialysis were subjected to the study. DSA was detected in 21 cases (8.8%), which was mainly localized in the middle or lower cervical spine. The incidence of DSA was increased in those receiving hemodialysis for more than 5 years. Fifty-four among them were re-examined 7 years after the initial examination, and DSA was found in 20 cases (37%). Some of them complained of severe pain in the cervical or lumbar regions, and showed myelopathic signs. Seemingly, the destructive changes of DSA aggravates in proportion to the long duration of hemodialysis.
Nakamura
M
M
Department of Orthopaedic Surgery, Faculty of Medicine, Kagoshima University, Japan.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D006435:Renal Dialysis / Q000009:adverse effects*; D013122:Spinal Diseases / Q000000981:diagnostic imaging* / Q000209:etiology