基于“筋出槽、骨错缝”理论探讨神经根型颈椎病的CT特征

被引：41

作者：

黄学成 ^{[1
]}

叶林强 ^{[2
]}

伍子贤 ^{[3
]}

梁德 ^{[3
]}

黄文华 ^{[1
]}

姚珍松 ^{[3
]}

江晓兵 ^{[3
]}

机构：

[1] 南方医科大学基础医学院

[2] 广东省东莞市中医院

[3] 广州中医药大学第一附属医院

来源：

中华中医药杂志 | 2019年 / 34卷 / 08期

关键词：

神经根型颈椎病; 筋出槽; 骨错缝; CT; 特征;

D O I：

暂无

中图分类号：

R274.9 [现代医学骨伤科疾病];

学科分类号：

100210 [外科学];

摘要：

目的:拟利用三维CT重建颈椎的空间形态,全方位了解神经根型颈椎病患者"筋出槽、骨错缝"的影像学特点,为神经根型颈椎病"筋出槽、骨错缝"的临床特征提供影像学依据。方法:纳入30例C5-6椎间盘单侧突出的神经根型颈椎病患者的CT资料,通过在矢状位测量C5-6及C6-7颈椎间盘高度和颈椎间盘前后缘高度差、在冠状位测量C5-6颈椎间盘左右两侧高度和钩椎关节间隙及在轴位测量C5-6左右两侧关节突关节矢状角角度和关节突关节间隙高度,从而了解C5-6神经根型颈椎病患者颈椎"筋出槽、骨错缝"的影像学特点。结果:在矢状位颈椎CT上,C5-6颈椎间隙下沉,并且C5椎体前屈;在冠状位颈椎CT上,C5-6节段没有发生明显侧屈,并且颈椎间盘突出的方向与C5-6节段椎体侧屈方向无相关性;在轴位颈椎CT上,C5-6颈椎间盘突出方向倾向于关节突关节矢状角角度较大的一侧,颈椎间盘突出方向倾向于小关节退变程度较轻的一侧,并且推测C5椎体向健侧旋转。结论:C5-6神经根型颈椎病患者的CT特征是:C5-6颈椎间隙下沉、C5椎体前屈并向健侧旋转。

引用

页码：3483 / 3487

页数：5

共 26 条

[1]

Adverse events associated with the use of cervical spine manipulation or mobilization and patient characteristics: A systematic review.[J].H.A. Kranenburg;M.A. Schmitt;E.J. Puentedura;G.J. Luijckx;C.P. van der Schans.Musculoskeletal Science and Practice.2017,

[2]

Cervical Intradural Disc Herniation Causing Progressive Quadriparesis After Spinal Manipulation Therapy A Case Report and Literature Review [J].

Yang, Hwan-Seo ;

Oh, Young-Min ;

Eun, Jong-Pil .

MEDICINE, 2016, 95 (06)

[3]

Symptomatic; Magnetic Resonance Imaging–Confirmed Cervical Disk Herniation Patients: A Comparative-Effectiveness Prospective Observational Study of 2 Age- and Sex-Matched Cohorts Treated With Either Imaging-Guided Indirect Cervical Nerve Root Injections or Spinal Manipulative Therapy.[J].Cynthia K. Peterson;Christian W.A. Pfirrmann;Jürg Hodler;Serafin Leemann;Christof Schmid;Bernard Anklin;B. Kim Humphreys.Journal of Manipulative and Physiological Therapeutics.2016, 3

[4]

Outcomes from MRI Confirmed Symptomatic Cervical Disc Herniation Patients Treated with High Velocity; Low Amplitude; Spinal Manipulative Therapy. A Prospective Cohort Study with 3 Month Follow-up.[J].Cynthia K. Peterson;Christof Schmid;Serafin Leemann;Bernard Anklin;B. Kim Humphreys.Journal of Manipulative and Physiological Therapeutics.2013,

[5]

The influence of torsion on disc herniation when combined with flexion [J].

Veres, Samuel P. ;

Robertson, Peter A. ;

Broom, Neil D. .

EUROPEAN SPINE JOURNAL, 2010, 19 (09) :1468-1478

[6]

IMMEDIATE HYPOALGESIC AND MOTOR EFFECTS AFTER A SINGLE CERVICAL SPINE MANIPULATION IN SUBJECTS WITH LATERAL EPICONDYLALGIA [J].

Fernandez-Camero, Josue ;

Fernandez-de-las-Penas, Cesar ;

Cleland, Joshua A. .

JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS, 2008, 31 (09) :675-681

[7]

Intradiscal pressure, shear strain, and fiber strain in the intervertebral disc under combined loading [J].

Schmidt, Hendrik ;

Kettler, Annette ;

Heuer, Frank ;

Simon, Ulrich ;

Claes, Lutz ;

Wilke, Hans-Joachim .

SPINE, 2007, 32 (07) :748-755

[8]

An MRI investigation of intervertebral disc deformation in response to torsion [J].

Fazey, Peter J. ;

Song, Swithin ;

Monsas, Ashild ;

Johansson, Linda ;

Haukalid, Tone ;

Price, Roger I. ;

Singer, Kevin P. .

CLINICAL BIOMECHANICS, 2006, 21 (05) :538-542

[9]

The influence of static axial torque in combined loading on intervertebral joint failure mechanics using a porcine model [J].

Drake, JDM ;

Aultman, CD ;

McGill, SM ;

Callaghan, JP .

CLINICAL BIOMECHANICS, 2005, 20 (10) :1038-1045

[10]

Ruptured Cervical Disc After Spinal Manipulation Therapy: Report of Two Cases.[J].Sheng-Hong Tseng;Swei-Ming Lin;Yun Chen;Chih-Hsien Wang.Spine.2002, 3

← 1 2 3 →