Bland J H
University of Vermont College of Medicine, Burlington.
Curr Opin Rheumatol. 1991 Apr;3(2):218-25. doi: 10.1097/00002281-199104000-00004.
The cervical spine has long been an area in which the assumption is made that no undescribed anatomy and physiology will be forthcoming. Herein described are cervical anatomy and physiology that have not been reported, as well as anatomy that has been extensively described but does not exist. Fresh research needs to be done on the distinctive and poorly understood characteristics of the autonomic nervous system in the cervical spine. Included in research reports are evidence of herniation of intradiscal gas; efficacy of early mobilization of patients with long-standing neck pain; successful surgical treatment relieving severe hemicranial migraine attack; and the use of magnetic resonance imaging in thoracic disk herniation, permitting precise localization and determination of the magnitude of cord compression.
长期以来,人们一直认为颈椎领域不会出现未被描述的解剖学和生理学知识。本文描述了尚未被报道的颈椎解剖学和生理学知识,以及已被广泛描述但实际并不存在的解剖结构。需要针对颈椎自主神经系统独特且鲜为人知的特征开展新的研究。研究报告中包括椎间盘内气体疝出的证据;长期颈部疼痛患者早期活动的疗效;成功缓解严重半侧颅偏头痛发作的手术治疗;以及磁共振成像在胸椎椎间盘突出症中的应用,可实现精确的定位并确定脊髓受压程度。