颈椎骨赘致椎动脉狭窄的后路减压术：病例报告
Posterior decompression of the vertebral artery narrowed by cervical osteophyte: case report.
作者信息
Citow J S, Macdonald R L
机构信息
Section of Neurosurgery, Pritzker School of Medicine, University of Chicago, Illinois, USA.
出版信息
Surg Neurol. 1999 May;51(5):495-8; discussion 498-9. doi: 10.1016/s0090-3019(98)00121-9.
BACKGROUND
Symptomatic vertebral artery compression caused by cervical spondylosis usually is caused by compression of the artery by osteophytes arising from the uncinate process. Compression from facet joint osteophytes is seldom reported.
CASE DESCRIPTION
A 69-year-old male developed symptomatic vertebral artery stenosis secondary to an osteophyte arising from the superior facet of the sixth cervical vertebra posterior to the artery. A posterior decompression of the vertebral artery with removal of the offending facet joint complex relieved the patient's transient neurologic events.
CONCLUSION
Symptomatic vertebral artery stenosis may be caused by osteophytes compressing the vertebral artery anteriorly from the uncinate process or posteriorly from the facet complex.
背景
颈椎病引起的有症状的椎动脉受压通常是由钩椎关节长出的骨赘压迫动脉所致。小关节骨赘压迫导致的情况鲜有报道。
病例描述
一名69岁男性因第六颈椎上关节突后方动脉处长出的骨赘而出现有症状的椎动脉狭窄。对椎动脉进行后路减压并切除引起问题的小关节复合体后，患者的短暂性神经症状得到缓解。
结论
有症状的椎动脉狭窄可能是由骨赘从钩椎关节前方或从关节复合体后方压迫椎动脉所致。
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