摘要
目的:提高对枢椎棘突偏移现象的认识,评价其对寰枢椎旋转半脱位的临床意义。方法:回顾性分析确诊为寰枢椎旋转半脱位患者的开口位片42例,正常组为30例,测量2组枢椎棘突偏移的出现率并对比,同时统计患者组中枢椎棘突偏移的方向与寰枢椎旋转半脱位的方向的相关性。结果:正常组枢椎棘突偏移率为36.67%,患者组为83.33%,2组间存在显著性差异(P<0.01)。患者组中枢椎棘突偏移方向与寰椎旋转方向不一致的为64.29%。结论:寰枢椎旋转半脱位患者有枢椎棘突偏移现象,行X线摄片检查时体位改变,尤其是头颈痛性旋转及侧屈体位可能是导致这一现象的重要原因,枢椎棘突偏移现象是否与寰枢椎旋转半脱位有明确的关系有待进一步研究。对于有些医务工作者将枢椎棘突偏移现象作为寰枢椎半脱位的诊断依据及以此作为脊椎手法复位的指征缺乏足够的研究支持。
Objective：To assess the migration of axial spinous process in atlantoaxial joint rotary subluxation and evaluate its clinical application.Methods：Forty two cases of open-mouth X-ray images diagnosed as atlantoaxial joint rotary subluxation（sublaxation group）were reviewed with comparison of 30 normal X-ray images（control group）.The frequency of migration of axial spinous process in both groups was determined and compared,and the correlation between migration direction of axial spinous process and rotational direction of the atlas was calculated in subluxation group.Results：The frequency of migration of axial spinous process in subluxation group was 83.33%,however,36.67% in control group,which showed a significant difference（P0.01）.Conclusion：The migration of axial spinous process shown in the X-rays films of the atlantoaxial joint rotary subluxation may result from position change of the patients,especially from the rotation and lateral flexion of the patients＇ heads.The migration of axial spinous process can not identify the true rotational direction of the atlas without further proof.
出处
《中日友好医院学报》
2010年第2期87-89,共3页
Journal of China-Japan Friendship Hospital
关键词
寰枢椎旋转半脱位
枢椎
棘突
测量
atlantoaxial joint rotary subluxation
axial vertebra
spinous process
measurement
