颈椎病合并颈椎损伤的MRI诊断

MRI Diagnosis of Cervical Vertebral Injuries Associated Cervical Spondylosis

目的：分析颈椎病合并颈椎损伤的磁共振（ＭＲＩ）表现。方法：回顾性分析６２例颈椎病患者与３５例非颈椎病患者颈椎损伤的ＭＲＩ扫描资料与临床资料。结果：颈椎病合并颈椎损伤的ＭＲＩ表现包括椎体骨折与脱位、韧带撕裂，颈髓损伤、椎间盘损伤脱出、推动脉受压扭曲与狭窄、椎前血肿等损伤性表现及椎间盘变性脱出。黄韧带肥厚、椎管狭窄、后纵韧带钙化等颈椎退变表现。颈椎病组颈椎损伤易合并颈髓损伤，且多为无骨折脱位型颈髓损伤，颈髓损伤的位置与范围与颈椎原有病变的位置与范围一致。结论：ＭＲＩ能充分反映颈椎病合并颈椎损伤的表现特征，对治疗和预后有重要意义。

Objective: To analyze MRI findings of cervical vertebral injuries associated cervical spondylosis.Methods: TheMRI findings and clinical information of cervical vertebral injuries about 62 patients with cervical spondylosis and 35 patientswithout cervical spondylosis were analyzed retrospectively. Results: MIRI demonstrated not only cervical vertebral injurychanges but also cervical vertebral degenerative findings in all patients with cervical spondylosis.The main MIRI findings included the following: ho injury and subluxation, ligament disrupture, intervertebral disc injury and hemiation, cervical cordinjury, pervertebral hematoma, vertebral artery involing, cerebellum in farction, and degenederation findings such as intervertebraldisk degenerated and herniation , ligamenturn flava hypertrophy, posterior longitudinal ligamentum calcification, canal stenosis. Cordinjuries especially cord injuries without ho injury were common in patients with cervical spondylosis. Conclusion: MRI canreflect the characteristic findings of cervical vertebral injuries associated cervical spondylosis.