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胸椎黄韧带尾侧附着处骨化的频率和大小。旋转应变在其形成中的作用。对121例脊柱的解剖学研究。

Frequency and size of ossifications in the caudal attachments of the ligamentum flavum of the thoracic spine. Role of rotatory strains in their development. An anatomic study of 121 spines.

作者信息

Maigne J Y, Ayral X, Guérin-Surville H

机构信息

Laboratoire d'Anatomie, Université Paris V, France.

出版信息

Surg Radiol Anat. 1992;14(2):119-24. doi: 10.1007/BF01794886.

DOI:10.1007/BF01794886
PMID:1641735
Abstract

Ossifications in the caudal attachments of the ligamentum flavum were studied on 121 dried thoracic spines. Most of them were aged. Frequency increased in a caudal direction. At T12, frequency depended on the orientation of the zygapophyseal joints of T11-12 which determined the range of rotation. When they were of thoracic orientation, allowing large range of rotation, ossifications were present in 83% of cases. If orientation was lumbar, allowing poor range of rotation, ossifications became much less frequent:33%. The size of ossifications was also studied. The smaller were in T1 and T2. In T11 and T12, size also depended on the orientation of the zygapophyseal joints of T11-12. If it allowed important range of rotation, ossifications were large sized. In the opposite case, they were small sized. Ossifications of caudal attachments of ligamentum flavum appear to be a normal feature of the aged lower thoracic spine. Their frequency in a given motion segment seems to be influenced by rotational strains.

摘要

对121具干燥的胸椎棘突进行了黄韧带尾侧附着处骨化的研究。其中大多数为老年人。骨化频率沿尾侧方向增加。在T12水平,骨化频率取决于T11 - 12椎间关节的方向,该方向决定了旋转范围。当椎间关节呈胸椎方向,允许较大旋转范围时,83%的病例存在骨化。如果方向为腰椎,旋转范围较小,则骨化频率明显降低:33%。还对骨化的大小进行了研究。T1和T2处的骨化较小。在T11和T12,骨化大小也取决于T11 - 12椎间关节的方向。如果允许较大旋转范围,骨化则较大。反之,则较小。黄韧带尾侧附着处的骨化似乎是老年下胸椎的一个正常特征。在给定运动节段中其频率似乎受旋转应变的影响。

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