布氏菌性脊椎炎,是布氏菌病慢性、亚急性、恢复期常见的骨关节合并症。除有弛张热、多汗、乏力、游走性大关节疼痛肿胀等一般症状外,常有剧烈、顽固持续性腰背痛,脊椎活动和行走受限,被迫卧位,腰肌痉挛,局部触痛叩痛明显。少数病人有腰大肌脓肿,或硬膜外脓肿致截瘫或运动感觉障碍。 X线检查,病变多在腰椎,少数在胸椎、胸腰段、骶椎或骶髂关节。椎体变形、椎间隙弯窄、椎间关节突变窄、椎旁软组织改变。椎体前上角边缘缺损,缺损边缘骨质硬化或椎体中心有破坏灶,相邻椎体前下角边缘有唇状骨质增生呈鸟嘴状,后期有骨矫形 Brucellosis spondylitis, is a brucellosis chronic, subacute, convalescent common bone and joint complications. In addition to the general symptoms of remission, hyperhidrosis, fatigue, migratory joint pain and swelling and other symptoms, often severe, persistent persistent low back pain, vertebral movement and walking restricted, forced to lie, psoas spasm, Local tenderness percussion pain significantly. A small number of patients with psoas psoas, or paraplegia caused by epidural abscess or motor sensory disorders. X-ray examination, lesions in the lumbar spine, a few in the thoracic, thoracolumbar, sacral or sacroiliac joint. Vertebral body deformation, narrow intervertebral space, narrow intervertebral joint mutations, paravertebral soft tissue changes. Vertebral anterior margin of the edge of the defect, the defect edge of bone sclerosis or vertebral center damage, the edge of the adjacent vertebral anterior lip lip hyperostosis was beak-like, post-orthopedic