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犬第二颈椎到第三颈椎脊髓血管环境的解剖学特征。

Anatomical features of the canine C2-C3 spinal cord vascular environment.

机构信息

Department of Small Animal Surgery, VetAgro Sup, Campus Vétérinaire de Lyon, Marcy L'Etoile, France.

Department of Histopathology, VetAgro Sup, Campus Vétérinaire de Lyon, Marcy-l'Etoile, France.

出版信息

Am J Vet Res. 2021 Dec 9;83(2):107-113. doi: 10.2460/ajvr.21.05.0063.

DOI:10.2460/ajvr.21.05.0063
PMID:34890357
Abstract

OBJECTIVE

Interarcuate branch (IAB) is a vascular structure, particularly developed in C2-3 intervertebral space, forming a dorsal bridge that connects ventral venous plexi in the vertebral canal. While precisely described in the human, the precise anatomical features of IABs have not been reported in the veterinary literature. The purpose of this study is to describe the features and relations of IABs in the C2-3 vertebral canal.

ANIMALS

10 dogs were enrolled; 5 dogs for necropsy and 5 dogs for histology.

PROCEDURES

The ventral venous plexi in the cervical spine of 5 dogs were injected with latex and underwent vertebral canal dissection for visual assessment of the IAB. Two out of 5 dogs were injected with the addition of barium sulfate and underwent a CT scan. The C2-3 regions of 5 small-breed dogs were harvested for histological examinations.

RESULTS

IABs arose from the ventral venous plexus at the level of the intervertebral vein; they originated from 2 separate branches located caudally and cranially to the intervertebral foramen, forming a ventrodorsal triangle surrounding the spinal nerve root. No dorsal anastomosis was observed on the CT scan nor at dissection but were observed histologically. A cervical fibrous sheath was observed all around the vertebral canal.

CLINICAL RELEVANCE

IABs are voluminous venous structures at the C2-3 intervertebral space in dogs and found within a split of the cervical fibrous sheath, which is adherent to the interarcuate ligament and the ligamentum flavum. This anatomical description is paramount when planning an approach to the C2-3 intervertebral space.

摘要

目的

弓间支(IAB)是一种血管结构,尤其在 C2-3 椎间发育,形成背侧桥,连接椎管内的腹侧静脉丛。尽管在人体中已有详细描述,但在兽医文献中尚未报道 IAB 的精确解剖特征。本研究旨在描述 C2-3 椎管内 IAB 的特征和关系。

动物

纳入 10 只狗;5 只为尸检,5 只为组织学研究。

程序

5 只狗的颈椎腹侧静脉丛注入乳胶,并进行椎管解剖,以肉眼评估 IAB。其中 2 只狗还注入了硫酸钡并进行了 CT 扫描。5 只小型犬的 C2-3 区域被采集用于组织学检查。

结果

IAB 起源于椎间静脉水平的腹侧静脉丛;它们起源于 2 个分别位于椎间孔尾侧和头侧的分支,形成一个围绕脊神经根的背腹三角形。在 CT 扫描或解剖时均未观察到背侧吻合,但在组织学上观察到。整个椎管周围都有一个颈纤维鞘。

临床相关性

IAB 是犬 C2-3 椎间空间的大量静脉结构,位于颈纤维鞘的分裂处,与弓间韧带和黄韧带附着。在计划 C2-3 椎间空间入路时,这种解剖描述至关重要。

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