Mechanisms of neurovascular compression within the spinal and intervertebral canals

被引:26
作者
Giles, LGF [1 ]
机构
[1] Univ Queensland, Natl Unit Multidisciplinary Studies Spinal Pain, Townsville Gen Hosp, Townsville, Qld, Australia
关键词
spine; stenosis; neurovascular compression; pathology;
D O I
10.1016/S0161-4754(00)90077-0
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: To describe some possible causes of encroachment on human spinal and intervertebral canal (foramen) neurovascular structures. Data Selection and Synthesis: A review of some imaging films of patients aged 38 to 52 years and some human autopsy histopathologic sections from 40- to 60-year-old cadavers to determine what structures may be responsible for neurovascular compression in individuals in this relatively young-to-middle-age group and to illustrate some examples. Results: Stenosis of the spinal and intervertebral canal neurovascular structures can be caused by various bony and soft-tissue structures. Stenosis can be related to osteophytosis of the vertebral body, uncovertebral joints, and zygapophysial joints and to intervertebral disc protrusion, ossification of the posterior longitudinal ligament. and ligamentum flavum hypertrophy or buckling. Discussion: Various forms of spinal and intervertebral canal stenosis can cause compression of neurovascular structures that may, in turn, be responsible for symptomatology. Of course, autopsy findings cannot he equated with painful syndromes in patients.
引用
收藏
页码:107 / 111
页数:5
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