Nathan H
Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv, Israel.
Spine (Phila Pa 1976). 1987 Jul-Aug;12(6):527-32. doi: 10.1097/00007632-198707000-00003.
The presence of osteophytes compressing the sympathetic structures in the thorax was found in 655 (65.5%) of 1,000 cadavers. In 60.4% of the affected cases, the compression was on the right side, and in 36.9% it was bilateral, although the right side was more severely affected. In 2%, the compression was on the left only. The highest frequency of compression was at the T8-10 level, the right greater splanchnic nerve being the structure most frequently involved. The sympathetic trunk itself (ganglia and cord) was affected only by osteophytes of vertebrae at the lowest thoracic levels; however, bony excrescences due to costovertebral joint arthritis were frequently found impinging on the sympathetic trunk and its rami communicantes at similar frequencies on both sides. The factors governing the characteristic compression of the sympathetic structures in the thorax are the typical development of the osteophytes and the special relations of the sympathetic structures to the vertebral column at the various levels. It is proposed that these observations are useful in understanding certain observed clinical conditions and act an anatomic baseline for research in the future.
在1000具尸体中，有655具（65.5%）发现有骨赘压迫胸部交感结构。在60.4%的受累病例中，压迫发生在右侧，36.9%为双侧压迫，尽管右侧受累更严重。2%的病例仅左侧受压。压迫的最高频率出现在T8 - 10水平，右侧内脏大神经是最常受累的结构。交感干本身（神经节和神经索）仅受最低胸段椎体的骨赘影响；然而，肋椎关节关节炎导致的骨质增生经常以相似频率在两侧压迫交感干及其交通支。胸部交感结构特征性压迫的影响因素是骨赘的典型发育以及交感结构在不同水平与脊柱的特殊关系。这些观察结果有助于理解某些观察到的临床情况，并为未来的研究提供解剖学基线。
