Horn V, Vlach O, Messner P
Tissue Center, University Hospital, Brno, Czechoslovakia.
Arch Orthop Trauma Surg. 1991;110(4):187-9. doi: 10.1007/BF00571056.
In view of the increased numbers of vertebrogenic complaints in society today, the authors investigated the clinical and morphological relations involved in these conditions. Histological techniques and the scanning electron microscope were used to examine the different structures of the spine under conditions of tensile overload. Chief attention was paid to the structures most exposed to mechanical stress, such as the interface between the vertebral body and the intervertebral disc. The authors found that the insertion of collagen fibres in cartilage or bone in the regions overloaded by tensile forces is identical to that found in epicondylitis in other locations. Such enthesopathies in the spinal region may form a major component of back pain states, and special therapy should be employed for them.
鉴于当今社会脊椎源性疾病的数量不断增加，作者研究了这些病症所涉及的临床和形态学关系。采用组织学技术和扫描电子显微镜，在拉伸过载条件下检查脊柱的不同结构。主要关注的是最易受到机械应力的结构，如椎体与椎间盘之间的界面。作者发现，在受拉力过载区域的软骨或骨中胶原纤维的插入情况，与在其他部位的肱骨外上髁炎中发现的情况相同。脊柱区域的这种附着点病可能构成背痛状态的主要组成部分，对此应采用特殊治疗方法。
