Kouwenhoven Jan-Willem M, Vincken Koen L, Bartels Lambertus W, Meij Björn P, Oner F Cumhur, Castelein René M
Department of Orthopedics, University Medical Center Utrecht, Utrecht, The Netherlands.
Spine (Phila Pa 1976). 2006 Sep 15;31(20):E754-8. doi: 10.1097/01.brs.0000240209.85498.01.
In this CT study, vertebral rotation was analyzed in the transverse plane of the normal, nonscoliotic canine spine with a computer-based measurement method.
To determine if a rotational pattern exists in the normal, nonscoliotic quadruped spine, similar to what is seen in humans.
Idiopathic scoliosis does not occur in quadrupeds. In humans, the normal, nonscoliotic spine shows a preexistent pattern of vertebral rotation, which corresponds to the most prevalent curve types of idiopathic scoliosis. Since this rotational tendency has only been demonstrated in humans, it is not clear if it can be considered as a part of the pathogenesis of idiopathic scoliosis or as a normal anatomic feature.
CT scans of the thorax of 42 dogs without clinical or radiologic evidence of scoliosis were used to measure axial vertebral rotation from T1-T13 with a previously developed computer-based CT measurement method.
The results of this study demonstrated a predominant rotation to the right of the upper, mid, and lower thoracic vertebrae of the normal canine spine. The mean vertebral rotation angles differed significantly from zero degrees rotation at level T1, from level T4-T7, and from T11-T13.
The normal spine of quadrupeds shows rotation of the thoracic vertebrae with a preferred direction to the right, similar to what is seen in humans. Since idiopathic scoliosis does not exist in quadrupeds, this preexistent rotation seems to be a physiologic process in normal spinal development, independent of the pathogenesis of scoliosis.
在这项CT研究中,采用基于计算机的测量方法,在正常、非脊柱侧弯的犬类脊柱横断面分析椎体旋转情况。
确定正常、非脊柱侧弯的四足动物脊柱中是否存在类似于人类所见的旋转模式。
特发性脊柱侧弯在四足动物中不发生。在人类中,正常、非脊柱侧弯的脊柱显示出一种预先存在的椎体旋转模式,这与特发性脊柱侧弯最常见的曲线类型相对应。由于这种旋转倾向仅在人类中得到证实,因此尚不清楚它是否可被视为特发性脊柱侧弯发病机制的一部分或正常解剖特征。
对42只无脊柱侧弯临床或放射学证据的犬类胸部进行CT扫描,采用先前开发的基于计算机的CT测量方法测量T1至T13椎体的轴向旋转。
本研究结果表明,正常犬类脊柱的上、中、下胸椎主要向右旋转。在T1水平、T4至T7水平以及T11至T13水平,平均椎体旋转角度与零旋转度有显著差异。
四足动物的正常脊柱显示胸椎有向右的优先旋转方向,类似于人类所见。由于四足动物不存在特发性脊柱侧弯,这种预先存在的旋转似乎是正常脊柱发育中的生理过程,与脊柱侧弯的发病机制无关。