颈椎钩椎关节的影像学特征研究进展
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摘要
颈椎钩椎关节是只存在于颈椎(C3～C7)椎体的特殊结构,控制着颈椎的屈伸和旋转运动,在颈椎生理曲度稳定性、颈脊髓保护及脊柱多平面运动中发挥着非常重要的作用。颈椎钩椎关节对颈椎退变,颈椎病的发生和颈椎手术的选择具有重要意义。本文通过分析健康青少年、不同年龄段正常国人颈椎钩椎关节影像学特点,对颈椎钩椎关节在影像学上的特征进行分析,探讨颈椎钩椎关节和相邻骨性结构椎间孔、椎管的相关性,从而为早期发现、手术治疗颈椎病等提供理论依据和支持。
The cervical uncovertebral joints is a special structure only in the cervical vertebrae(C3～C7) vertebral body. It controls the flexion and extension and rotational movement of the cervical vertebrae. It plays a vital role in the stability of cervical curvature, cervical spinal cord protection and multi-planar movement of the spine. Cervical uncovertebral joints are important for the degeneration of the cervical vertebrae, the occurrence of cervical spondylosis and the choice of cervical surgery. This paper analyzes the imaging features of cervical uncovertebral joints by analyzing the imaging features of cervical uncovertebral joints in healthy adolescents and normal age groups, and explores the cervical uncovertebral joints and adjacent bony intervertebral foramen and spinal canal. The correlation provides theoretical basis and support for early detection and surgical treatment of cervical spondylosis.
The cervical uncovertebral joints is a special structure only in the cervical vertebrae(C3～C7) vertebral body. It controls the flexion and extension and rotational movement of the cervical vertebrae. It plays a vital role in the stability of cervical curvature, cervical spinal cord protection and multi-planar movement of the spine. Cervical uncovertebral joints are important for the degeneration of the cervical vertebrae, the occurrence of cervical spondylosis and the choice of cervical surgery. This paper analyzes the imaging features of cervical uncovertebral joints by analyzing the imaging features of cervical uncovertebral joints in healthy adolescents and normal age groups, and explores the cervical uncovertebral joints and adjacent bony intervertebral foramen and spinal canal. The correlation provides theoretical basis and support for early detection and surgical treatment of cervical spondylosis.
引文
[1]陈福新,黄永言.颈椎病CT影像学特点及其诊断价值分析[J].世界最新医学信息文摘,2018,18(56):157.
[2]龚建平,王东来,沈利民,等.三维CT曲线重建显示椎动脉的实验研究[J].实用放射学杂志,2000,16(6):349-350.
[3]杜江榕,李继云,李文革,等.影像学在诊断颈椎病中的应用[J].华西医学,2010,25(5):871.
[4]陈荔川,周鹏,高雪梅,等.颈椎病的影像学检查及其临床意义[J].实用医学影像杂志,2006,7(2):77-79.
[5]PAYNE EE,SPILLANE JD.The cervical spine;an anatomico-pathological study of 70 specimens(using a special technique)with particular reference to the problem of cervical spondylosis[J].Brain,1957,80(4):571-596.
[6]CLAUSEN JD,GOEL VK,TRAYNELIS VC,et al.Uncinate processes and Luscha joints influence the biomechanics of the cervical spine:quantification using a finite element model of the C5-C6 segment[J].J Orthop Res,1997,15(3):342-347.
[7]TUBBS RS,VAHEDI P,LOUKAS M,et al.Hubert von Luschka(1820-1875):his life,discoveries,and contributions to our understanding of the nervous system[J].J Neurosurg,2011,114(1):268-272.
[8]PAIT TG,KILLEFER JA,ARNAUTOVIC KI.Surgical anatomy of the anterior cervical spine:the disc space,vertebral artery,and associated bony structures[J].Neurosurgery,1996,39(4):769-776.
[9]PANJABI MM,DURANCEAU J,GOEL V,et al.Cervical human vertebrae.Quantitative three-dimensional anatomy of the middle and lower regions[J].Spine,1991,16(8):861-869.
[10]Hartman J.Anatomy and clinical significance of the uncinate process and uncovertebral joint:A comprehensive review[J].Clin Anat,2014,27(3):431-440.
[11]Tubbs RS,Rompala OJ,Verma K,et al.Analysis of the uncinate processes of the cervical spine:an anatomical study[J].J Neurosurg Spine,2012,16(4):402-407.
[12]Choi JM,Hong HJ,Chang SK,et al.Cerebellar infarction originating from vertebral artery stenosis caused by a hypertrophied uncovertebral joint[J].JStroke Cerebrovasc Dis,2012,21(8):908.e7-e9.
[13]Guvenc Y,Kocadag S.An unusual complication of cervical disc hernia:Negative-pressure pulmonary edema[J].Journal of Neurological Sciences,2015,32(1):213-219.
[14]EBRAHEIM NA,LU J,BIYANI A,et al.Anatomic considerations for posterior approach to the sacroiliac joint[J].Spine,1996,21(23):2709-2712.
[15]LU J,EBRAHEIM NA,YANG H,et al.Cervical uncinate process:an anatomic study for anterior decompression of the cervical spine[J].Surg Radiol Anat,1998,20(4):249-252.
[16]S A R I N G E R W,N O B A U E R I,R E D D Y M,e t a l.Microsurgical anterior cervical foraminotomy(uncoforaminotomy)for unilateral radiculopathy:clinical results of a new technique[J].Acta Neurochir,2002,144(7):685-694.
[17]Bernhardt M,Hynes RA,Blume HW,et al.Cervical spondylotic myelopathy[J].J Bone Joint Surg(Am),1993,75(1):119-128.
[18]贾连顺,李家顺.颈椎外科手术学[M].上海:上海远东出版社,2001.142-143.
[19]Ullrich CG,Binet EF,Sanecki MG,et al.Quantitative assessment of the lumbar spinal canal by computed tomography[J].Radiolo-gy,1980,134(1):137-143.
[20]Kornberg M,Rechtine GR.Quantitative assessment of the fifth lumbar spinal canal by computed tomography in symptomatic l4-l5disc disease[J].Spine,1985,10(4):32-33.
[21]Hasegawa,Toru,Howard S.An,Haughton et al.Critical Heights of the Intervertebral Discs and Foramina.A Cryomicrotome study in Cadavera The Journal of Bone and Joint Surgery 1995;77-A(1):32-38.
[22]武兴杰,蔡锡类,尹青山,颈推横突孔一钩突间距测量及其临床意义[J].铁道医学,1994;22(2):71-72.
[23]于江河,程云啔.颈推钩突60例正常人X线形.态学观测.临床军医杂志,2003;31(4):120-121.
[24]Rene’e M.DeVries*,Anita Manne cervical MRI.Part I:a basic overview Clinical Chiropractic 2003;6:137-143.
[25]Jho HD,Kin WK,Kim MH,et al.Anterior microforaminotomy for treatment of cervical radiculopathy:part 1--discpreserving"functional cervical disc surgery".Neurosurgery.2002;51(5 Suppl):S46-53.
[26]王星,史君,张少杰,李筱贺,马世峰,李志军,张元智,于静红.三维图像测量青少年颈椎钩突的形态特征[J].中国组织工程研究与临床康复,2011,15(30):5587-5590.
[27]鞠晓华,鞠学红,王金平,等.颈椎钩椎关节的解剖观察及临床意义[J].潍坊医学院学报,2001,23(3):164-165.
[28]李家顺.颈椎外科学[M].上海:上海科学技术出版社,2004:1-11.
[29]瞿东滨,金大地,钟世镇.颈椎钩突的解剖学测量及临床意义[J].中国矫形外科杂志,2002(01):50-52.
[30]朱建兵.正常国人颈椎钩突的螺旋CT测量研究[D].苏州大学,2004.
[31]Ebraheim NA,Lu JI,Biyani AS,et al.Anatomic considerations for uncovertebral involvement in cervical spondylosis.Spine 1997;334:200-206.
[32]付佳斌.内蒙古地区蒙古族与汉族青少年颈椎关节突关节和钩突的三维数字化发育研究及有限元分析[D].重庆医科大学,2018.
[2]龚建平,王东来,沈利民,等.三维CT曲线重建显示椎动脉的实验研究[J].实用放射学杂志,2000,16(6):349-350.
[3]杜江榕,李继云,李文革,等.影像学在诊断颈椎病中的应用[J].华西医学,2010,25(5):871.
[4]陈荔川,周鹏,高雪梅,等.颈椎病的影像学检查及其临床意义[J].实用医学影像杂志,2006,7(2):77-79.
[5]PAYNE EE,SPILLANE JD.The cervical spine;an anatomico-pathological study of 70 specimens(using a special technique)with particular reference to the problem of cervical spondylosis[J].Brain,1957,80(4):571-596.
[6]CLAUSEN JD,GOEL VK,TRAYNELIS VC,et al.Uncinate processes and Luscha joints influence the biomechanics of the cervical spine:quantification using a finite element model of the C5-C6 segment[J].J Orthop Res,1997,15(3):342-347.
[7]TUBBS RS,VAHEDI P,LOUKAS M,et al.Hubert von Luschka(1820-1875):his life,discoveries,and contributions to our understanding of the nervous system[J].J Neurosurg,2011,114(1):268-272.
[8]PAIT TG,KILLEFER JA,ARNAUTOVIC KI.Surgical anatomy of the anterior cervical spine:the disc space,vertebral artery,and associated bony structures[J].Neurosurgery,1996,39(4):769-776.
[9]PANJABI MM,DURANCEAU J,GOEL V,et al.Cervical human vertebrae.Quantitative three-dimensional anatomy of the middle and lower regions[J].Spine,1991,16(8):861-869.
[10]Hartman J.Anatomy and clinical significance of the uncinate process and uncovertebral joint:A comprehensive review[J].Clin Anat,2014,27(3):431-440.
[11]Tubbs RS,Rompala OJ,Verma K,et al.Analysis of the uncinate processes of the cervical spine:an anatomical study[J].J Neurosurg Spine,2012,16(4):402-407.
[12]Choi JM,Hong HJ,Chang SK,et al.Cerebellar infarction originating from vertebral artery stenosis caused by a hypertrophied uncovertebral joint[J].JStroke Cerebrovasc Dis,2012,21(8):908.e7-e9.
[13]Guvenc Y,Kocadag S.An unusual complication of cervical disc hernia:Negative-pressure pulmonary edema[J].Journal of Neurological Sciences,2015,32(1):213-219.
[14]EBRAHEIM NA,LU J,BIYANI A,et al.Anatomic considerations for posterior approach to the sacroiliac joint[J].Spine,1996,21(23):2709-2712.
[15]LU J,EBRAHEIM NA,YANG H,et al.Cervical uncinate process:an anatomic study for anterior decompression of the cervical spine[J].Surg Radiol Anat,1998,20(4):249-252.
[16]S A R I N G E R W,N O B A U E R I,R E D D Y M,e t a l.Microsurgical anterior cervical foraminotomy(uncoforaminotomy)for unilateral radiculopathy:clinical results of a new technique[J].Acta Neurochir,2002,144(7):685-694.
[17]Bernhardt M,Hynes RA,Blume HW,et al.Cervical spondylotic myelopathy[J].J Bone Joint Surg(Am),1993,75(1):119-128.
[18]贾连顺,李家顺.颈椎外科手术学[M].上海:上海远东出版社,2001.142-143.
[19]Ullrich CG,Binet EF,Sanecki MG,et al.Quantitative assessment of the lumbar spinal canal by computed tomography[J].Radiolo-gy,1980,134(1):137-143.
[20]Kornberg M,Rechtine GR.Quantitative assessment of the fifth lumbar spinal canal by computed tomography in symptomatic l4-l5disc disease[J].Spine,1985,10(4):32-33.
[21]Hasegawa,Toru,Howard S.An,Haughton et al.Critical Heights of the Intervertebral Discs and Foramina.A Cryomicrotome study in Cadavera The Journal of Bone and Joint Surgery 1995;77-A(1):32-38.
[22]武兴杰,蔡锡类,尹青山,颈推横突孔一钩突间距测量及其临床意义[J].铁道医学,1994;22(2):71-72.
[23]于江河,程云啔.颈推钩突60例正常人X线形.态学观测.临床军医杂志,2003;31(4):120-121.
[24]Rene’e M.DeVries*,Anita Manne cervical MRI.Part I:a basic overview Clinical Chiropractic 2003;6:137-143.
[25]Jho HD,Kin WK,Kim MH,et al.Anterior microforaminotomy for treatment of cervical radiculopathy:part 1--discpreserving"functional cervical disc surgery".Neurosurgery.2002;51(5 Suppl):S46-53.
[26]王星,史君,张少杰,李筱贺,马世峰,李志军,张元智,于静红.三维图像测量青少年颈椎钩突的形态特征[J].中国组织工程研究与临床康复,2011,15(30):5587-5590.
[27]鞠晓华,鞠学红,王金平,等.颈椎钩椎关节的解剖观察及临床意义[J].潍坊医学院学报,2001,23(3):164-165.
[28]李家顺.颈椎外科学[M].上海:上海科学技术出版社,2004:1-11.
[29]瞿东滨,金大地,钟世镇.颈椎钩突的解剖学测量及临床意义[J].中国矫形外科杂志,2002(01):50-52.
[30]朱建兵.正常国人颈椎钩突的螺旋CT测量研究[D].苏州大学,2004.
[31]Ebraheim NA,Lu JI,Biyani AS,et al.Anatomic considerations for uncovertebral involvement in cervical spondylosis.Spine 1997;334:200-206.
[32]付佳斌.内蒙古地区蒙古族与汉族青少年颈椎关节突关节和钩突的三维数字化发育研究及有限元分析[D].重庆医科大学,2018.