非共线棘突在颈椎“骨错缝与筋出槽”诊断中的临床应用

[Clinical application of non-collinear spinous process in the diagnosis of cervical vertebra "Gu Cuo Feng and Jin Chu Cao"].

作者信息

Zhang Kai-Yong, Zhuang Yuan, Zhan Hong-Sheng, Zhang Ming-Cai, Shi Yin-Yu

机构信息

Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China.

出版信息

Zhongguo Gu Shang. 2013 Jan;26(1):47-9.

PMID:23617142

Abstract

OBJECTIVE

To analyze value of X-ray in diagnosis of cervical vertebral rotation.

METHODS

From May 2010 to June 2011,129 patients with cervical spondylosis were collected and examined by X-ray. Among them, 119 cases were collinear spinous, other 10 cases were excluded with collinear. Of involved patients, 28 cases were male,91 cases were females with an average age of (48.53 +/- 14.32) (ranged, 24 to 65) years. The segments and numbers of vertebral body spinous process which were not centered were recorded, and then CT scan was performed to examine segments of vertebral body and spinous process which were not centered to observe rotation of cervical vertebra and spinous process deviation. The relationship between numbers of spinous not centered and vertebral rotation was statistical analyzed.

RESULTS

When the number of spinous not centered ranged from 1 to 6, vertebral rotation rate were 45.45%, 46.67%, 56.86%, 62.07%, 77.14%, 85.19% respectively.

CONCLUSION

The more numbers of vertebral spinous process not centered, the more chance of corresponding vertebral rotation.

摘要

目的

分析X线在诊断颈椎旋转中的价值。

方法

收集2010年5月至2011年6月129例颈椎病患者行X线检查，其中棘突连线者119例，排除棘突不连线者10例。纳入患者中男28例，女91例，平均年龄（48.53±14.32）岁（范围24至65岁）。记录棘突未居中的椎体节段及数量，然后对未居中的椎体节段及棘突行CT扫描观察颈椎旋转及棘突偏移情况。对棘突未居中数量与椎体旋转的关系进行统计学分析。