Platyspondyly
| Classification according to ICD-10 | |
|---|---|
| Q76.4 | Other congenital malformations of the spine without scoliosis Platyspondyly |
| ICD-10 online (WHO version 2019) | |
A platyspondyly means a generalized flattening (decrease in height) of the vertebral bodies . The change is innate in skeletal dysplasia .
clinic
Due to the forces acting, the flattening often manifests itself more clearly in the middle to lower thoracic spine and the lumbar spine, often with kyphosis .
Occurrence
Platyspondyly in various forms can already be found in newborns and small children:
- Achondroplasia (relative to the widened intervertebral discs)
- Diastrophic Dysplasia , Broad Bone-Platyspondylic Variant
- Hypothyroidism (developing slightly over the years)
- Thanatophoric dysplasia (synonyms: PLATYSPONDYLIC LETHAL SKELETAL DYSPLASIA, SAN DIEGO TYPE) (pronounced)
- Metatropic dysplasia (pronounced)
- Odonto Chondrodysplasia (Synonyms: Goldblatt Syndrome; SPONDYLOMETAPHYSEAL DYSPLASIA WITH DENTINOGENESIS IMPERFECTA; ODONTOCHONDRODYSPLASIA; ODCD)
- Torrance platyspondylitic dysplasia
- Spondyloepiphyseal dysplasia (SED), congenital form
- Spondyloepimetaphyseal dysplasia (pronounced)
- Hypophosphatasia
- Congenital Cushing's Syndrome
- Smith-McCort Syndrome
- Acromesomelic dysplasia Maroteaux type
In older children there are also:
- Osteogenesis imperfecta , late form
- Morquio's disease (mucopolysaccharidosis type IV) (irregular configuration of the vertebral bodies)
- Spondyloepiphyseal dysplasia , late form
- Spondylometaphyseal dysplasia Kozlowski (pronounced)
- Kniest dysplasia (multiple, not generalized)
- Arthro-ophthalmopathy Stickler syndrome (multiple, non-generalized)
- Dysosteosclerosis
- Dyggve-Melchior-Clausen syndrome
- Homocystinuria
- Chondrodystrophy
- Polytopic dysostosis
- Dreyfus Syndrome
- Pyle syndrome
- Progressive pseudorheumatoid arthropathy
- Parastremmatic dysplasia
It can be a defining feature in individual syndromes, such as in platyspondyly and amelogenesis imperfecta .
diagnosis
The documentation of the flattening of the vertebrae and, in some cases, the differentiation of underlying diseases is carried out in the x-ray of the spine.
Differential diagnosis
Isolated height reductions, such as those that can occur with inflammatory processes, tumors or metastases, are to be distinguished. A pronounced decrease in height to about a third of the normal height in one or individual vertebral bodies is called vertebra plana .
Individual evidence
- ^ W. Pschyrembel: Clinical dictionary. Verlag Walter de Gruyter, 265th edition (2014) ISBN 3-11-018534-2
- ↑ a b K. Ebel, E. Willich, E. Richter (eds.): Differential diagnostics in pediatric radiology. Thieme 1995, ISBN 3-13-128101-4
- ↑ DIASTROPHIC DYSPLASIA; DTD DIASTROPHIC DYSPLASIA, BROAD BONE-PLATYSPONDYLIC VARIANT, INCLUDED. In: Online Mendelian Inheritance in Man . (English)
- ↑ THANATOPHORIC DYSPLASIA, TYPE I ;. In: Online Mendelian Inheritance in Man . (English)
- ↑ SPONDYLOMETAPHYSEAL DYSPLASIA WITH DENTINOGENESIS IMPERFECTA. In: Online Mendelian Inheritance in Man . (English)
- ↑ W. Schuster, D. Färber (editor): Children's radiology. Imaging diagnostics. Springer 1996, ISBN 3-540-60224-0 Volume I.
- ↑ Lexicon Orthopedics
