Increased prevalence of HLA-B27 in patients with ectopic ossification following traumatic spinal cord injury.

J M Larson, J P Michalski, E A Collacott, D Eltorai, C C McCombs, J B Madorsky
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引用次数: 50

Abstract

The histocompatibility antigen HLA-B27 was determined in 43 patients with post-traumatic spinal cord injury (SCI). The prevalence of B27 was significantly increased in the SCI patients with ectopic ossification. Five of 21 patients with ectopic bone had B27 compared to none of the 22 patients without ossification (P = 0.021). This finding indicates that HLA-B27 is a genetically determined risk factor for the development of heterotopic ossification following injury to the central nervous system. Future studies may determine that HLA-typing can identify a group of patients at a high risk of a disabling complication of SCI who should be treated prophylactically to prevent ectopic bone.

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外伤性脊髓损伤后异位骨化患者HLA-B27患病率增加。
对43例创伤后脊髓损伤(SCI)患者的组织相容性抗原HLA-B27进行了检测。脊髓损伤伴异位骨化患者中B27的患病率明显增高。21例异位骨患者中有5例B27,而22例无骨化的患者中没有B27 (P = 0.021)。这一发现表明HLA-B27是中枢神经系统损伤后异位骨化发生的遗传决定的危险因素。未来的研究可能会确定hla分型可以识别出一组有SCI致残并发症高风险的患者,这些患者应该进行预防性治疗以防止异位骨。
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