Okada K
Nihon Seikeigeka Gakkai Zasshi. 1981 Jun;55(6):563-80.
In order to elucidate the pathological changes of the cervical facet joint probably representing one of the causes of the neck and shoulder pain, the author developed the arthrography of the cervical facet joint and applied this method to 157 joints of 83 patients. Eight cadavers were also used to evaluate the method based on an anatomical basis. Cervical facet joints of patients with tenderness on the lateral side of the neck were studied. The technic used in this method using X-ray T.V. was described and the arthrograms obtained on the dissected specimens were compared with the anatomical findings. The arthrogram of the middle and lower cervical facet joint was classified into the type with regular joint margin, the type with slightly irregular one and the type with irregular one, or the type with sharp lateral margin and the type with unsharp one. In 80% of the 142 joints in total, a communicating pathway was found from the facet joint to the interlaminar portion, interspinous portion, contralateral facet joint, para-extradural space and cervical extradural space. These arthrograms were analyzed. The visualization of the atlanto-axial joint was also achieved. Even in normal subject, a communication to the contralateral side via the surface of the axial spine was demonstrated.
为了阐明可能是颈肩痛原因之一的颈椎小关节的病理变化，作者开展了颈椎小关节造影术，并将该方法应用于83例患者的157个关节。还使用了8具尸体从解剖学基础上评估该方法。对颈部外侧有压痛的患者的颈椎小关节进行了研究。描述了该方法中使用X射线电视的技术，并将在解剖标本上获得的关节造影与解剖学发现进行了比较。中下颈椎小关节的关节造影分为关节边缘规则型、稍不规则型和不规则型，或外侧边缘锐利型和不锐利型。在总共142个关节中，80%发现有从小关节通向层间部、棘突间部、对侧小关节、椎旁硬膜外间隙和颈椎硬膜外间隙的连通路径。对这些关节造影进行了分析。还实现了寰枢关节的显影。即使在正常受试者中，也显示出通过枢椎表面与对侧相通。
