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脊椎、椎体终板和椎间盘:概念与特定病理情况

Vertebrae, Vertebral End Plates, and Disks: Concepts and Specific Pathologies.

作者信息

Gersing Alexandra S, Woertler Klaus, Jungmann Pia M, Bollwein Christine, Schwaiger Benedikt J

机构信息

Department of Radiology, School of Medicine, Technical University of Munich, Munich, Germany.

Department of Radiology, University of Freiburg, Freiburg, Germany.

出版信息

Semin Musculoskelet Radiol. 2019 Oct;23(5):489-496. doi: 10.1055/s-0039-1693976. Epub 2019 Sep 25.

DOI:10.1055/s-0039-1693976
PMID:31556084
Abstract

Vertebral end plates cover the osseous vertebral body. The integrity of the cartilaginous end plates is of great importance for the entire vertebral segment because the vascularized end plate provides the nutrition for the avascular disk. Yet several pathologies may occur at these end plates at the embryonic stage, in childhood to adolescence (e.g., ossification and segmentation disorders of the spine, persistent notochord, slippage of the growth plate), as well as in the mature spine of an adult (degenerative disk disease), that may impact the integrity of the cartilaginous end plate and therefore lead to severe diseases of the spine. This article reviews specific congenital, developmental, and degenerative disorders of the vertebral end plate as well as both established and newly introduced imaging techniques, such as ultrashort echo time imaging based on magnetic resonance imaging, that are suitable for imaging of the end plate.

摘要

椎体终板覆盖骨性椎体。软骨终板的完整性对于整个椎体节段至关重要,因为血管化的终板为无血管的椎间盘提供营养。然而,在胚胎期、儿童期至青少年期(例如脊柱的骨化和分节障碍、持续脊索、生长板滑脱)以及成年人的成熟脊柱(椎间盘退变疾病)中,这些终板可能会出现多种病变,这些病变可能会影响软骨终板的完整性,进而导致严重的脊柱疾病。本文综述了椎体终板的特定先天性、发育性和退行性疾病,以及适用于终板成像的已确立和新引入的成像技术,如基于磁共振成像的超短回波时间成像。

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