Ikeda M
Department of Orthopedic Surgery, School of Medicine, Toho University, Tokyo.
Nihon Seikeigeka Gakkai Zasshi. 1988 Apr;62(4):377-88.
In order to determine the origin of ossification of the posterior longitudinal ligament of the cervical spine, the author performed experiments using mature male rabbits raised under conditions designed to cause instability of the cervical vertebrae as a local factor and administered testosterone to the animals to produce an imbalance in the sex hormones as a systemic factor. The testosterone-estrogen ratios were high, and development of chondrocytes was noted at the part of attachment of the posterior longitudinal ligament to the vertebral body. Serum phosphate levels were significantly decreased. The imbalance of sex hormones not only affected the mechanism of calcium-phosphate regulation, but also contributed to an weakening of spinal ligaments. Furthermore, instability of cervical vertebrae acted on the spinal ligaments as a source of chronic minor trauma. Thus reactivity or reintegration will have a definite effect on ossification of the spinal ligaments.
为了确定颈椎后纵韧带骨化的起源,作者进行了实验,使用在旨在导致颈椎不稳定的条件下饲养的成年雄性兔子作为局部因素,并给这些动物注射睾酮以产生性激素失衡作为全身因素。睾酮 - 雌激素比值较高,并且在后纵韧带与椎体附着部位观察到软骨细胞的发育。血清磷酸盐水平显著降低。性激素失衡不仅影响钙磷调节机制,还导致脊柱韧带变弱。此外,颈椎不稳定作为慢性轻微创伤源作用于脊柱韧带。因此,反应性或再整合将对脊柱韧带骨化产生明确影响。