Zhang Ming-Cai, Shi Yin-Yu, Chen Dong-Yu, Huang Shi-Rong, Wang Xiang, Yuan Wei-An, Chen Bo, Wang Hui-Hao, Zhan Hong-Sheng
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China;
Zhongguo Gu Shang. 2016 Oct 25;29(10):898-902. doi: 10.3969/j.issn.1003-0034.2016.10.006.
To explore the effect of articulatio atlantoepistrophica sublaxation on the pathogenesis of cervical spondylosis, and provide a thread for diagnosis and treatment of cervical spondylosis with manipulation.
There were two groups in the study, which were non cervical spondylosis group and cervical spondylosis group. There were 333 patients in cervical spondylosis group, included 119 males and 214 females with the mean age of(48.11±12.21) years old. The patients were recruited from clinic service of orthopaedics in Shuguang Hospital between March 2006 and December 2008. There were 73 subjects in non cervical spondylosis group, included 18 males and 55 females with the mean of(45.99±11.47) years old. The subjects were recruited from undergraduate students, postgraduate, advanced study persons, and community personnel. The position relation of the atlanto axial joint was observed by cervical X rays with opening position, and the incidence rate of articulatio atlantoepistrophica sublaxation was compared between two groups, and their clinical characteristics were analyzed.
The incidence of articulatio atlantoepistrophica sublaxation in cervical spondylosis group was 81.38%(271/333)and was more than non cervical spondylosis group(<0.01). Furthermore, the pattern of the articulatio atlantoepistrophica sublaxation in cervical spondylosis group was complicated and diversified, which was 50.55% (137/271)with single moving sublaxation, 7.01%(19/271) with revolving sublaxation, 42.44%(115/271) with single moving and revolving sublaxation.
The articulatio atlantoepistrophica sublaxation may be a X ray diagnostic indication to the cervical spondylosis, which should be grouping studied in clinic. It will provide guidance for the diagnosis and treatment of cervical spondylosis.
探讨寰枢关节半脱位在颈椎病发病机制中的作用，为手法治疗颈椎病提供思路。
研究分为两组，即非颈椎病组和颈椎病组。颈椎病组333例患者，其中男119例，女214例，平均年龄（48.11±12.21）岁，于2006年3月至2008年12月在曙光医院骨科门诊就诊时纳入。非颈椎病组73例，其中男18例，女55例，平均年龄（45.99±11.47）岁，从本科生、研究生、进修人员及社区人员中选取。采用颈椎开口位X线片观察寰枢关节位置关系，比较两组寰枢关节半脱位发生率，并分析其临床特点。
颈椎病组寰枢关节半脱位发生率为81.38%（271/333），高于非颈椎病组（<0.01）。且颈椎病组寰枢关节半脱位类型复杂多样，单纯移位半脱位占50.55%（137/271），旋转半脱位占7.01%（19/271），单纯移位合并旋转半脱位占42.44%（115/271）。
寰枢关节半脱位可能是颈椎病的一项X线诊断指标，临床应分组研究，可为颈椎病的诊断和治疗提供指导。
