腰椎间盘突出并椎体后缘离断症.PDF

维普资讯 · 脊 柱脊 髓 疾 患 · 腰椎间盘突出并椎体后缘离断症 孔庆奎 吴珂 崔群生 于 同刚 【摘要】 目的 研究腰椎间盘突出并椎体后缘离断症的横断位、矢状位 cT表现 ，探讨其发病机 制和命名 方法 对 l8例息者共 19个部位进行CT扫描并进行矢状位重建。结果 突出的椎问盘和 离断的骨片突^椎管，横断位显示骨片后移，相对应的缺损区有髓核组织充填；矢状位上有 l5个显示 离断骨片呈条状后翘，与椎体后缘形成一 “v”形缺损区，4个呈三角形或不规则形 15个与椎体离断；4 个仍然相连。椎体后缘有骨-眭缺损，缺损边缘硬化=结论 其主要的发病机制是椎间盘突出对椎体后缘 的挤压，骨片离断是椎阃盘突出的继发改变，建议用 腰“椎问盘突出并椎体后缘离断症”这一称谓。 【关键词】 腰椎；椎间盘移位；体层射影术 X线计算机 ；椎体后缘离断 Lumb~ dj herniationassociated withposteriorbonyedgeseparationofthevertebralbody KONG Qingkui， WU C67Qurtsheng,et DepartmentofCT． TaianCityCentralHospital, Taia~271000 China 【bstractl 0bJ蒯 ve T0stud~t}mec}mnisr¨andthenomenelatufeofthelumb~diskherniation associatedwithpesteriorbonyedgeseparationofthevertebralbody，basedOHitsCTfindingsintransverseand sagitlal Dbanes．Methyls I8palJenlswith lumbardiskherniationwere aluatedwith theCT scanand sagittal reCOilstruction Results Therewe I9 Iumbarherniateddisksassociatedwithsep~ated posterior bonyedgeofthevertebralbodywhichprotrudedintothespinalcanal Therewasbonydefe finedwithdisk nmterial Inthesagittalplane．Ihebo ny~separationandtheposterioredgeofIhevertebralbodyformed h【e V 。 lypo defe~lati5levels，and4wereirregularortriangular．15ca~esofIhedischern~ onhadbonyseparations and4hadbo neconnectionwiththeveflebralbody．ThereweI lH)r defeetandsclerosisOilthevertebralbody e e Conclusion Themainmechanism wastheseparationcompressionoftheherniateddiskonthepos— teriorvertebralbody．The bony separation wasthe scconda~change So theauthorssuggestthatsuch attatomlealpathologicchangesbenamedasintervertebraldiskherniationassociatedwithposteriorbonysepa- 隰fionofthe lumbar忙Heb K【eywords1 Lumbarvertebrae；nItervertebraldiskdisplacement；Tomogmphy，X—raycomputed； Posterioredgeseparalion 尽管腰椎问盘突出并椎体后缘离断症的发病机