What established lesion results from the maturation and extensive repair of an initial Romanus lesion?
Answer
Andersson lesion
The development of a Romanus lesion is progressive. When the initial lesion, characterized by marginal erosion and mild reactive sclerosis, persists over a long duration, the reparative mechanism often becomes far more pronounced. This maturation process results in what is termed an Andersson lesion. Andersson lesions are essentially Romanus lesions that have undergone extensive reactive bone formation, leading to larger, more substantial, and densely sclerotic areas specifically located at the vertebral corners, signifying a long-standing pattern of disease activity in that spinal segment.
Related Questions
What specific inflammatory process drives the bony changes resulting in a Romanus lesion?What initial destructive effect on the bone characterizes the nascent stage of a Romanus lesion?What established lesion results from the maturation and extensive repair of an initial Romanus lesion?In which spinal regions are Romanus lesions most frequently identified radiologically?What early finding detectable by MRI reflects the ongoing inflammation in an active Romanus lesion?A key feature distinguishing a Romanus lesion is its dual nature showing both damage and what reparative sign?How does the primary destruction pattern in typical vertebral osteomyelitis contrast with that of a Romanus lesion?The enthesitis causing Romanus lesions specifically targets the insertion point of which structure onto the vertebral body?Identifying a Romanus lesion signals the initiation of the pathological process leading toward what advanced AS spinal feature?On radiographic images, what feature is often what ultimately makes an established Romanus lesion definitively identifiable?