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相邻关节是否会代偿颈椎节段活动度的降低?

Do adjacent joints compensate for decreased mobility in a cervical spine segment?

作者信息

Eulderink F, ten Have H A

出版信息

Z Rheumatol. 1982 Nov-Dec;41(6):263-7.

PMID:7164600
Abstract

The data from a combined pathological and kinesiological investigation in autopsy specimens of the cervical spine were used to test whether adjacent motion segments compensate for loss of mobility at a given level. In the segments adjacent to a low-mobile one no evidence was found of compensatory hypermobility, of an increase in the number and size of disk splits (which might have enhanced mobility), or of increased variation in mobility. On the contrary, a positive correlation of decreased mobility was present between the segments and their neighbors. Degenerative lesions affecting several levels of the same spine were probably a main cause of this correlation, but it was in part apparently independent of these lesions (at least as recorded in our study).

摘要

通过对颈椎尸检标本进行病理与运动学联合研究获得的数据,用于检验相邻运动节段是否会代偿特定节段的活动度丧失。在活动度较低节段的相邻节段中,未发现有代偿性活动过度的证据,未发现椎间盘裂隙数量及大小增加(这可能会增强活动度)的证据,也未发现活动度变化增加的证据。相反,节段与其相邻节段之间存在活动度降低的正相关。影响同一脊柱多个节段的退行性病变可能是这种相关性的主要原因,但部分相关性显然与这些病变无关(至少在我们的研究记录中如此)。

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