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Journal of Bone and Joint Surgery, 1927;9:629-635.
© 1927 by The Journal of Bone and Joint Surgery, Inc

OSTEOCHONDRITIS OF THE SPINE

With Report of Two Cases

SAMUEL W. BOORSTEIN M.D., F.A.C.S.

1. Every case of deformity of the spine suggesting osteochondritis should be studied carefully so as to establish a definite symptomatology of this entity.

2. Vertebral osteochondritis is characterized by deformity of the spine in the form of a knuckle or a generalized kyphosis or scoliosis, but with very slight or entire absence of pain.

3. The roentgenograms usually show only one vertebra affected, which assumes a cuneiform shape. There is absolutely no involvement of the discs above and below the diseased vertebra. The cartilage usually is thicker and there is often new formation of this tissue.

4. The etiology is unknown as in the cases of Legg-Calvé and Osgood-Schlatter's disease.

5. The treatment is immobilization in plaster-of-Paris jacket or a brace. Source of infection should be sought.


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