Dwyer A, Aprill C, Bogduk N
Department of Orthopaedic Surgery, University of Colorado Health Sciences Center, Denver.
Spine (Phila Pa 1976). 1990 Jun;15(6):453-7. doi: 10.1097/00007632-199006000-00004.
The pain patterns evoked by stimulation of normal cervical zygapophyseal joints were determined in five volunteers. Under fluoroscopic control, joints at segments C2-3 to C6-7 were stimulated by distending the joint capsule with injections of contrast medium. Each joint produced a clinically distinguishable, characteristic pattern of pain, which enabled the construction of pain charts that putatively could be of value in determining the segmental location of symptomatic joints in patients presenting with cervical zygapophyseal pain.
在五名志愿者身上确定了刺激正常颈椎关节突关节所诱发的疼痛模式。在荧光透视控制下,通过注射造影剂使关节囊扩张来刺激C2 - 3至C6 - 7节段的关节。每个关节都产生了临床上可区分的特征性疼痛模式,这使得能够构建疼痛图表,推测该图表在确定患有颈椎关节突疼痛的患者中症状性关节的节段位置方面可能具有价值。