Fang Jia-hu, Jia Lian-shun, Zhou Xu-hui, Chen Xiong-sheng, Zhang Yong
Department of Orthopaedics, Changzheng Hospital, the Second Military Medical University, Shanghai 200003, China.
Zhonghua Wai Ke Za Zhi. 2008 Nov 1;46(21):1642-4.
To offer normal reference of diameter of the cervical spinal cord and available diameter of cervical spinal canal and to screen scientific radiographic criteria to define and quantify cervical spinal cord disease.
The magnetic resonance images of 120 normal people had been measured. The data of diameters of cervical spinal cord, CSF, M, the ratio of diameters of cord and CSF, and the ratio of diameters of cord and M had been collected and statistical analysis was made. And the relationships between the data above and each of gender, the length of C-spine and age were evaluated. In addition, the ratio of diameters of cord and CSF, and the ratio of diameters of cord and M was evaluated.
The study showed that in healthy people, the diameters of cervical spinal cord, CSF and M was larger in the males than in the females, decreased with age, and increased with the length of C-spine but the diameter of CSF. And the ratio of diameters of cord and CSF increased with age and not affected by the length of C-spine. However, the ratio of diameters of cord and M was not affected by age and the length of C-spine.
The ratio of diameters of cord and M is not affected by individual variation and can be used to evaluate cervical spinal cord atrophy, compression and impaired in patients with cervical myelopathy and can be important information in looking for clinically critical points.
提供颈髓直径及颈椎管有效直径的正常参考值,筛选科学的影像学标准以界定和量化颈髓疾病。
对120名正常人的磁共振成像进行测量。收集颈髓、脑脊液、硬脊膜直径数据,以及颈髓与脑脊液直径之比、颈髓与硬脊膜直径之比,并进行统计分析。评估上述数据与性别、颈椎长度和年龄之间的关系。此外,还评估了颈髓与脑脊液直径之比以及颈髓与硬脊膜直径之比。
研究表明,在健康人群中,男性的颈髓、脑脊液和硬脊膜直径大于女性,随年龄增长而减小,随颈椎长度增加而增加,但脑脊液直径除外。颈髓与脑脊液直径之比随年龄增长而增加,不受颈椎长度影响。然而,颈髓与硬脊膜直径之比不受年龄和颈椎长度影响。
颈髓与硬脊膜直径之比不受个体差异影响,可用于评估颈椎病患者的颈髓萎缩、受压及损伤情况,可为寻找临床关键点提供重要信息。