Zhandarov Kirill, Blinova Ekaterina, Ogarev Egor, Sheptulin Dmitry, Terekhina Elizaveta, Telpukhov Vladimir, Vasil'ev Yuriy, Nelipa Mikhail, Kytko Olesya, Chilikov Valery, Panyushkin Peter, Drakina Olga, Meilanova Renata, Mirontsev Artem, Shimanovsky Denis, Bogoyavlenskaya Tatyana, Dydykin Sergey, Nikolenko Vladimir, Kashtanov Artem, Aliev Vladimir, Kireeva Natalia, Enina Yulianna
Department of Operative Surgery and Topographic Anatomy, I.M. Sechenov First Moscow State Medical University, Moscow 119435, Russia.
National Medical Research Center of Traumatology and Orthopedics N.N. Pirogova, Moscow 117198, Russia.
Diagnostics (Basel). 2023 Aug 30;13(17):2809. doi: 10.3390/diagnostics13172809.
This study addresses the cervical part of the vertebral column. Clinical pictures of dystrophic diseases of the cervical part of the vertebral column do not always correspond only to the morphological changes-they may be represented by connective tissue formation and nerve and vessel compression. To find out the possible reason, this morphometric study of the cervical part of the vertebral column in 40 cadavers was performed. CT scans were performed on 17 cadaveric material specimens. A total of 12 histological samples of connective tissue structures located in intervertebral canals (IC) were studied. One such formation, an intracanal ligament (IL) located in the IC, was found. Today, there is no term "intervertebral canal", nor is there a detailed description of the intervertebral canal in the cervical part of the vertebral column. Cervical intervertebral canals make up five pairs in segments C2-C7. On cadavers, the IC lateral and medial apertures were 0.9-1.5 cm and 0.5-0.9 cm, correspondingly. According to our histological study, the connective tissue structures in the IC are ligaments-IL. According to the presence of these ligaments, ICs were classified into three types. Complete regional anatomy characterization of the IC of the cervical part of the vertebral column with a description of its constituent anatomical elements was provided. The findings demonstrate the need to include the terms "intervertebral canal" and "intervertebral ligament" in the .
本研究针对脊柱的颈椎部分。脊柱颈椎部营养不良性疾病的临床表现并不总是仅与形态学变化相对应——它们可能表现为结缔组织形成以及神经和血管受压。为找出可能的原因，对40具尸体的脊柱颈椎部分进行了这项形态测量学研究。对17个尸体材料标本进行了CT扫描。共研究了位于椎间管（IC）内的12个结缔组织结构的组织学样本。发现了一种这样的结构，即位于IC内的管内韧带（IL）。如今，没有“椎间管”这一术语，脊柱颈椎部分的椎间管也没有详细描述。颈椎椎间管在C2 - C7节段共有五对。在尸体上，IC的外侧孔和内侧孔相应地为0.9 - 1.5厘米和0.5 - 0.9厘米。根据我们的组织学研究，IC内的结缔组织结构是韧带——IL。根据这些韧带的存在情况，将IC分为三种类型。提供了脊柱颈椎部分IC的完整区域解剖特征描述及其组成解剖结构。研究结果表明有必要在……中纳入“椎间管”和“椎间韧带”这两个术语。
