骨质疏松合并颈椎病的颈椎影像学及骨密度变化_医学论文.docVIP

骨质疏松合并颈椎病的颈椎影像学及骨密度变化_医学论文 骨质疏松合并颈椎病的颈椎影像学及骨密度变化_医学论文 作者：丛锐　王全平　冯立宁　李新奎　袁浩卿　刘凯　李小娟　孙银中 【关键词】 骨质疏松 　　关键词: 骨质疏松颈椎病骨密度发病学 　　摘 要:目的 探讨骨质疏松合并颈椎病时颈椎影像学及骨密度变化之间的关系. 方法 分3组，正常组20例，平均年龄23岁颈椎间盘突出症组（颈椎组）18例，平均年龄43岁，桡骨骨密度正常，行颈椎前路手术骨质疏松合并颈椎管狭窄症组（疏松组）25例，平均年龄59岁，桡骨骨密度低于正常，行颈椎后路手术.所有病例测量颈椎侧位C3 -C6 的椎管、椎体矢状径比，椎体变形指数，C4 -C6 骨密度.数据进行统计学处理. 结果 与正常组相比，颈椎组患者仅在C5 ，C6 椎体出现轻度椎管狭窄，椎体变形，骨密度无明显变化疏松组则是颈椎广泛椎管狭窄，椎体变形，骨密度升高，三值之间有较明显的相关性. 结论 颈椎骨质疏松可能是颈椎开始退变进而发展为颈椎病的始动因素之一.C5 ，C6 椎体最早发生椎体变形，椎管狭窄，以后逐渐扩大至其他椎体.椎体周围骨增生使椎体骨密度升高. 　　Keywords:osteoporosiscervical spondylosisbone densityetiology 　　Abstract:AIM To study the relationship between cervical spondylosis and osteoporosis in the cervical spine.METH┐ODS The subjects were separated into three groups.Twen-ty healthy subjects，23years of average age，were in Normal Group（NG）Eighteen patients，43years of average age，with herniation of cervical disc and normal bone density of ra-dius，were in Herniation of cervical disc Group（HG）And twenty-five patients，59years of average age，with spinal canal stenosis and subnormal bone density of radius，were in Osteoporosis in association with spinal canal stenosis Group（OG）.The sagittal diameter ratio of the cervical canal-verte-bral body and the cervical canal-vertebral body and the defor-mation index of the cervical vertebral body from C3 to C6 ，the bone density from C4 to C6 of all subjects were measured.The data were statistically analyzed.RESULTS The slight spinal canal stenosis and the deformation of vertebral body occurred in C5 ，C6 in HG compared with NG，but there was no significant difference in the bone density between the two groups.The wide-range spinal canal stenosis，the deforma-tion and increasing bone density of the vertebral body were present in the patients in OGmoreover，the significant cor-relation was found between both of the three indexes.CONCLUSION Osteoporosis may be one of the initiative factors leading to the degeneration of the cervical spine devel-oping into cervical spondylosis in the ce