CLINICAL VALIDATION OF FUNCTIONAL FLEXION EXTENSION RADIOGRAPHS OF THE CERVICAL-SPINE

被引：143

作者：

DVORAK, J

PANJABI, MM

GROB, D

NOVOTNY, JE

ANTINNES, JA

机构：

[1] Department of Neurology, Spine Unit of Schulthess Hospital, Zurich

[2] Department of Orthopedics and Rehabilitation, Yale University School of Medicine, New Haven, CT

[3] Department of Orthopaedic Surgery, Spine Unit of the Schulthess Hospit, Zürich

来源：

SPINE | 1993年 / 18卷 / 01期

关键词：

CERVICAL SPINE; FLEXION EXTENSION RADIOGRAPHS; TRAUMA; DEGENERATIVE CHANGES; RADICULAR SYNDROME; HYPERMOBILITY; HYPOMOBILITY;

D O I：

10.1097/00007632-199301000-00018

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The aim of this study was to determine the clinical validity of functional flexion/extension radiographs of the cervical spine in a defined patient population. Sixty-four adults with functional disorders of the cervical spine underwent passive flexion/extension radiographic examinations. The radiographs were analyzed using a computer assisted method to calculate segmental motion parameters, such as rotations, translations, and centers of rotation. The patients were separated into three groups based on their specific functional disorders, and their motion parameters were compared with those of a healthy population. The three groups consisted of patients with degenerative changes, those with radicular syndrome, and those with whiplash trauma. Most of the patients displayed trends toward hypomobile segmental motion. This trend is displayed more substantially in the groups with degeneration and radicular syndrome. Hypomobility in segmental rotation was significant at C6-C7 for the degenerative and radicular groups. The trauma group showed trends toward hypermobility in the upper and middle cervical levels, and the locations of the centers of rotation were shifted in the anterior direction when compared with those of the healthy population.

引用

页码：120 / 127

页数：8

共 13 条

[1]

Bakke S., Roentgenologische Beobachtungen Ueber die Bewegungen der Halswirbelsaule, Acta Radiol Suppl, 13, (1931)

[2]

Buetti-Buamel C., Funktionelle Roentgendiagnostik der Halswirbelsäule, Archiv Und Atlas, 70, pp. 19-23, (1954)

[3]

De Seze C., Dijian A., Abdelmoula M., Etude Radiologique de la Dynamique cervical dans le plain sagittal. (Une contribution radiophysiologique a Petude pathogenique des artheoses cervicales), Revue Du Rhumatisme, 18, pp. 37-46, (1951)

[4]

Dvorak J., Froehlich D., Penning L., Functional radiographic diagnosis of the cervical spine, Spine, 13, pp. 748-755, (1988)

[5]

Dvorak J., Panjabi M.M., Chang D.G., Theiler R., Grob D., Functional radiographic diagnosis of the lumbar spine: Flex- ion-extension and lateral bending, Spine, 16, pp. 562-571, (1991)

[6]

Dvorak J., Panjabi M.M., Novotny J.E., Antinnes J.A., In vivo flexion/extension of the normal cervical spine, J Orthop Res, 9, pp. 828-834, (1991)

[7]

Dvorak J., Panjabi M.M., Novotny J.E., Chang D., Grob D., Clinical validation of functional flexion/extension X-rays of the lumbar spine, Spine, 16, pp. 943-950, (1991)

[8]

Lysell E., Motion in the cervical spine: An experimental study on autopsy specimens, Acta Orthop Scand, 123, (1969)

[9]

Panjabi M.M., Chang D., Dvorak J., An analysis of errors in kinematic parameters associated with in vivo functional x-rays, Spine, 7, pp. 200-205, (1992)

[10]

Panjabi M.M., Goel V.K., Walter S.D., Schick S., Errors in the center and angle of rotation of a joint: An experimental study, J Biomech Eng, 104, pp. 232-237, (1982)

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