《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (11): 1069-1071.

• 论文 • 上一篇    下一篇

颈椎后纵韧带骨化症脊髓压迫程度与髓内高信号的相关性研究

霍喜卫，胡成栋，陈怀志，周玉军，李东风，王瑞，王飞
   

  1. 邯郸市中心医院骨2 科，河北邯郸市056001。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-11-25 发布日期:2013-11-25

Correlation between Spinal Canal Stricture and Increased Signal Intensity in Ossification of Posterior Longitudinal Ligament

HUO Xi-wei, HU Cheng-dong, CHEN Huai-zhi, et al. The Second Department of Orthopedics,
  

  1. Handan Central Hospital, Handan 056001,Hebei, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-11-25 Online:2013-11-25

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被引次数

3

摘要： 目的探讨颈椎后纵韧带骨化症(OPLL)患者脊髓压迫程度与髓内高信号(ISI)之间的关系。方法92 例颈椎OPLL患者 分为3 组：椎管矢状径残余率≥66.7%为A组(n=29)，椎管矢状径残余率33.3%~66.7%为B组(n=36)，椎管矢状径残余率<33.3%为C组(n=27)。分析各组神经功能及髓内高信号发生情况。结果A组6 例出现ISI (20.7%)，B组17 例出现ISI (47.2%)，C组19 例出现 ISI (70.4%) (P<0.05)。日本骨科协会(JOA)评分A组平均为(7.1±2.1)，B组为(6.0±1.8)，C组为(5.6±2.0) (P<0.05)。结论OPLL患者脊髓压迫程度越重，脊髓内越容易出现高信号，神经受损症状越严重。

关键词: 颈椎, 后纵韧带, 骨化, 脊髓内高信号, 神经功能

Abstract: Objective To investigate the correlation of spinal canal stricture and intramedullary increased signal intensity (ISI) in patients with ossification of the posterior longitudinal ligament (OPLL). Methods 92 patients with OPLL were divided into 3 groups, those with the sagittal diameter remained ≥66.7% were as group A, 33.3%~66.7% as group B, and <33.3% as group C. The incidence of intramedullary ISI was recorded, and their neurological condition was assessed with the Japanese Orthopedics Association Assessment (JOA). Results ISI were found in 6 cases in the group A (20.7%), 17 cases in the group B (47.2%) and 19 cases in the group C (70.4%) (P<0.05). The score of JOA was (7.1±2.1) in the group A, (6.0±1.8) in the group B and (5.6±2.0) in the group C (P<0.05). Conclusion The incidence of intramedullary ISI increased with the severity of spinal canal stricture, and with more severe nerve damage in OPLL patients.

Key words: cervical spine, posterior longitudinal ligament, ossification, intramedullary increased signal intensity, neurological function