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硬脊膜内相邻脊神经根之间的交通及其临床意义。

Intra-dural intercommunications between dorsal roots of adjacent spinal nerves and their clinical significance.

机构信息

Department of Anatomy, Smt. B. K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth, Piparia, Vadodara, 391760, Gujarat, India.

出版信息

Surg Radiol Anat. 2021 Sep;43(9):1519-1526. doi: 10.1007/s00276-021-02761-2. Epub 2021 May 7.

DOI:10.1007/s00276-021-02761-2
PMID:33961081
Abstract

PURPOSE

The dorsal roots of adjacent spinal nerves are known to communicate with each other through rami communicantes. These intercommunications can cause deviations in the normal dermatomal organization which leads to errors during clinical decision-making. The objective of the study was to augment the existing knowledge of these communications which shall help minimize the diagnostic and therapeutic errors.

METHODS

The present study examined thirty cadaveric spinal cord specimens to document the data of intra-dural, intercommunications between dorsal roots of adjacent spinal nerves.

RESULTS

All the regions of the spinal cord exhibited the presence of intercommunications with variable frequency. The intercommunications were categorized into a total of nine groups based on their patterns. The levels of spinal cord exhibiting higher and lower frequencies of intercommunications were identified.

CONCLUSION

This information will be useful during the clinical evaluation of patients with spinal cord pathologies or radiculopathies. The outcomes of rhizotomy can also be improved with knowledge of intercommunications.

摘要

目的

相邻脊神经的背根通过交通支相互沟通。这些相互沟通会导致正常皮节组织发生偏差,从而导致临床决策中的错误。本研究的目的是增加对这些沟通的现有认识,以帮助尽量减少诊断和治疗错误。

方法

本研究检查了 30 个尸体脊髓标本,以记录硬脊膜内相邻脊神经根之间的通讯数据。

结果

脊髓的所有区域均表现出存在具有不同频率的通讯。根据其模式将通讯分为总共 9 组。确定了表现出更高和更低通讯频率的脊髓水平。

结论

在对脊髓病变或神经根病变患者进行临床评估时,这些信息将非常有用。了解交通支也可以改善神经根切断术的结果。

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2
Microsurgical anatomy of the spinal cord in human fetuses.人胎儿脊髓的显微解剖学。
Surg Radiol Anat. 2020 Aug;42(8):951-960. doi: 10.1007/s00276-020-02498-4. Epub 2020 May 16.
3
Extradural and intradural characteristics of the cervical nerve root anomalies.
Front Cell Dev Biol. 2022 Oct 3;10:1019309. doi: 10.3389/fcell.2022.1019309. eCollection 2022.
颈椎神经根异常的硬脊膜外和硬脊膜内特征。
J Clin Neurosci. 2020 Mar;73:259-263. doi: 10.1016/j.jocn.2020.01.074. Epub 2020 Jan 29.
4
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Surg Radiol Anat. 2016 Oct;38(8):917-22. doi: 10.1007/s00276-016-1658-1. Epub 2016 Mar 8.
5
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J Neurosurg Pediatr. 2013 Aug;12(2):142-50. doi: 10.3171/2013.4.PEDS12539. Epub 2013 May 28.
6
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J Neurosurg. 2011 Nov;115(5):929-33. doi: 10.3171/2011.5.JNS102058. Epub 2011 Jun 17.
7
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8
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10
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