Hotta Y
Nihon Seikeigeka Gakkai Zasshi. 1985 Mar;59(3):311-25.
In thoracolumbar spine, the interlaminar and the capsular portion of the yellow ligament differed in their location and direction of elastic fibers. However, the capsular portion in most cervical spines were not considered to represent elastic tissues. At the ligament-osseous junction (enthesis) in the thoracolumbar spine, decreased elastic fibers, hyalinized collagen fibers, emergence of fibrocartilaginoid cells and intra-ligamentous calcification were noted. In the cervical spine and in part of the thoracolumbar spin, however, elastic fibers were close to the bony tissue partially penetrating it without the above-mentioned histological findings. Small ossification in the yellow ligament of a cadaver was considered to be "degenerative enthesopathy (enthesophyte)" originating from "enthesis". But in operative cases, the ossification had the same direction and location as those of the small ossification seen in a cadaver, but endogenous factors were strongly suggested because of the extensive change in matrix prior to ossification.
在胸腰椎，黄韧带的板层间部分和囊部在弹性纤维的位置和方向上存在差异。然而，大多数颈椎的囊部不被认为代表弹性组织。在胸腰椎的韧带 - 骨交界处（附着点），观察到弹性纤维减少、胶原纤维玻璃样变、纤维软骨样细胞出现和韧带内钙化。然而，在颈椎和部分胸腰椎，弹性纤维靠近骨组织并部分穿透骨组织，未出现上述组织学表现。尸体黄韧带中的小骨化被认为是源自“附着点”的“退行性附着点病（附着点骨赘）”。但在手术病例中，骨化的方向和位置与尸体中所见的小骨化相同，但由于骨化前基质的广泛变化，强烈提示存在内源性因素。
