颈椎不稳症的X线临床与影像表现

The Clinical and Radiologic Presentation of X-ray on Unstable Cervical Vertebra Disease

目的:通过X线探讨和分析颈椎不稳的临床与影像表现。方法:对我院的100例诊断为颈椎不稳症的患者实施X线拍片,拍颈椎正侧位片、双斜位片及侧位过伸过曲片。结果:100例颈椎不稳患者的X线表现结果:上颈椎不稳有32例,占32%,其中环枕不稳定的例数有4例,有3例为外伤引起,1例为先天畸形;环枢椎不稳定的有28例,有2例为发育畸形,炎症导致不稳定的有4例,手术原因引起的有2例,退行性病变引起的有20例;下颈椎不稳症的例数有68例,占68.00%,其中外伤引起的有45例,退行性病10例,手术原因引起的有4例,炎症导致的有1例,先天性发育异常有8例。颈椎不稳定病变主要发生在下颈椎,从X线片可知,下颈椎的C3、C4、C5发生不稳定症的机会大,它们向前的位移均超过2mm。结论:通过颈椎X线分析发现颈椎不稳定症主要发生在下颈椎,并且主要发生在C3、C4、C5。

vertebra disease Objective： To analyse the clinical and radiologic presentation ot X-ray on unstable cervlcal through X-ray. Method： Chose 100 diagnosed unstable cervical vertebra disease patients in our hospital with X-ray inspection, took anterio posterio rand lateral film, Double inclined a piece of and ide had a reach of bowed. Result： 100 patients with unstable cervical X - ray performance. The upper cervical spine instability was 32 cases, accounting for 32%, among which ring pillow unstable number was 4 cases, 3 cases were caused by traumatic injury and 1 case was congenital malformation ; Ring of vertebral instability of coffins was 28 cases, there were 2 cases of malformations, inflammation in the stable was 4 cases, 2 cases was causedby surgery, 20 cases were caused by degenerative diseases; The cervical vertebra disease instabil-ity out was 68 cases, accounting for 68.00%, with traumatic cause was 45 cases, retreat a venereal was 10 cases, the cause of surgery was 4 cases, inflammation of the lead to one example, congenital abnormal devel- opment was 8 cases. Unstable cervical vertebra disease mainly happened next cervical vertebra, from X-ray that, under the Ca ~ C4, cervical stability of the disease occurred C5 was big opportunity, they move the displacement were more than 2mm. Conclusion： It＇s found that cervical vertebra disease occured mainly in unstable cervical spine, and mainly in C3, C4, C5 through the cervical spine X-ray analysis.