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[尸体胸腰椎黄韧带骨化的组织学研究。尤其关于骨化早期]

[Histological study on the ossification of the yellow ligament in the thoracolumbar spines of the cadavers. Especially on the early stage of the ossification].

作者信息

Itoh H

出版信息

Fukuoka Igaku Zasshi. 1989 Dec;80(12):527-35.

PMID:2516006
Abstract

The occurrence process of ossification of the yellow ligament (OYL) was studied radiographically and histologically by using the thoracolumbar spines of the cadavers taken out as en bloc. The subjects were from 44 to 89 years at age (average 66.1 years). After taking roentgenographs, the specimens were sectioned sagittally for histological observations with H-E stain, elastica.van-Gieson stain, safranin-O stain and alcian blue stain. The findings were as follows. 1. Roentgenographically, OYL was evidently found in 6 cases with average age of 71.5 years, while not found in 4 cases with average age of 58.0 years. OYL was more frequently recognized in elderly cadavers. This fact is presumed to be one of the physiological aging processes. 2. Histologically, ossification was found to start in the superior margin of the lamina. Ligament fibers of the yellow ligament attached to the bone tissue piercing through the uncalcified cartilage zone, tide mark and calcified cartilage zone in order. This structure is called enthesis. In the early stage of ossification, cartilage zone became wide being followed by endochondral ossification. Elastic fibers in the cartilage zone became sparse and fine granular calcification was focally found in the uncalcified cartilage zone. Then, these changes also occurred in the ligamentous attachment of the superior lamina, but they were more evident in the superior margin of the inferior lamina. 3. In the advanced stage of ossification, there were a widening of tide mark and an increase of chondrocytes in number. Linear calcified deposits were observed along the ligamentous fibers. Elastic fibers were reduced in the cartilage zone, enlarged and deranged.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

采用整段取出的尸体胸腰椎,通过影像学和组织学方法研究黄韧带骨化(OYL)的发生过程。研究对象年龄在44至89岁之间(平均66.1岁)。拍摄X线片后,将标本矢状面切片,用苏木精-伊红染色、弹性纤维van-Gieson染色、番红O染色和阿尔辛蓝染色进行组织学观察。结果如下:1. 影像学上,6例平均年龄71.5岁的尸体明显发现有OYL,而4例平均年龄58.0岁的尸体未发现。OYL在老年尸体中更常见。这一事实被认为是生理衰老过程之一。2. 组织学上,骨化始于椎板上缘。黄韧带的韧带纤维依次穿过未钙化软骨区、潮线和钙化软骨区附着于骨组织。这种结构称为附着点。在骨化早期,软骨区变宽,随后发生软骨内成骨。软骨区内的弹性纤维变得稀疏,在未钙化软骨区内局部发现细颗粒状钙化。然后,这些变化也发生在椎板上缘的韧带附着处,但在下位椎板上缘更明显。3. 在骨化晚期,潮线增宽,软骨细胞数量增加。沿韧带纤维观察到线状钙化沉积。软骨区内弹性纤维减少、增粗且排列紊乱。(摘要截断于250字)

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Is ossification of posterior longitudinal ligament an enthesopathy?后纵韧带骨化是否为腱病?
Int Orthop. 2011 Oct;35(10):1511-6. doi: 10.1007/s00264-010-1163-9. Epub 2010 Nov 23.