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颈椎活动度:影像学研究。

Cervical spine motion: radiographic study.

作者信息

Morgan J P, Miyabayashi T, Choy S

出版信息

Am J Vet Res. 1986 Oct;47(10):2165-9.

PMID:3777640
Abstract

Knowledge of the acceptable range of motion of the cervical spine of the dog is used in the radiographic diagnosis of both developmental and degenerative diseases. A series of radiographs of mature Beagle dogs was used to identify motion within sagittal and transverse planes. Positioning of the dog's head and neck was standardized, using a restraining board, and mimicked those thought to be of value in diagnostic radiology. The range of motion was greatest between C2 and C5. Reports of severe disk degeneration in the cervical spine of the Beagle describe the most severely involved disks to be C4 through C7. Thus, a high range of motion between vertebral segments does not seem to be the cause for the severe degenerative disk disease. Dorsoventral slippage between vertebral segments was seen, but was not accurately measured. Wedging of disks was clearly identified. At the atlantoaxio-occipital region, there was a high degree of motion within the sagittal plane at the atlantoaxial and atlanto-occipital joints; the measurement can be a guideline in the radiographic diagnosis of instability due to developmental anomalies in this region. Lateral motion within the transverse plane was detected at the 2 joints; however, motion was minimal, and the measurements seemed to be less accurate because of rotation of the cervical spine. Height of the vertebral canal was consistently noted to be greater at the caudal orifice, giving some warning to the possibility of overdiagnosis in suspected instances of cervical spondylopathy.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

犬颈椎可接受的活动范围的知识被用于发育性和退行性疾病的放射诊断。使用一系列成年比格犬的X光片来确定矢状面和横断面内的活动情况。使用约束板将犬的头部和颈部位置标准化,并模仿那些在诊断放射学中被认为有价值的姿势。活动范围在C2和C5之间最大。关于比格犬颈椎严重椎间盘退变的报告描述,受累最严重的椎间盘为C4至C7。因此,椎体节段之间的高活动范围似乎不是严重退行性椎间盘疾病的原因。观察到椎体节段之间的背腹侧滑移,但未进行准确测量。椎间盘楔形变被明确识别。在寰枢枕区,寰枢关节和寰枕关节在矢状面内有高度活动;该测量可作为该区域发育异常导致不稳定的放射诊断的指导。在这两个关节处检测到横断面内的侧向活动;然而,活动极小,并且由于颈椎旋转,测量似乎不太准确。始终注意到椎管高度在尾侧孔处更大,这对疑似颈椎病病例中过度诊断的可能性给出了一些警示。(摘要截短于250字)

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