脊髓型颈椎病脑重塑的磁共振成像研究进展

Research progress of MRI on brain plasticity in cervical spondylotic myelopathy

脊髓型颈椎病(cervical spondylotic myelopathy, CSM)是慢性脊髓压迫最常见的疾病,近年来由于工作学习姿势不正确,CSM的发病人群逐渐年轻化,且发病率明显上升。脊髓中神经纤维的受压被认为是引起CSM患者症状的主要原因之一,然而减压术后仍有部分患者恢复欠佳,如何改善预后成为我们面临的重大问题。近年来,随着影像学技术的发展,我们发现除脊髓受压外大脑的功能重塑可能是产生不同症状的原因之一。本文对近年来利用磁共振成像对CSM脑重塑的研究进行综述,旨在为治疗颈椎病及预测预后提供更好的影像学依据。

Cervical spondylotic myelopathy(CSM) is the most common form of chronic spinal cord compression, and the incidence of CSM has increased significantly in recent years due to the younger population with incorrect work and study posture. Compression of nerve fibers in the spinal cord is considered to be one of the main causes of symptoms in patients with CSM, yet some patients still have poor recovery after decompression surgery, and how to improve the prognosis has become a major issue for us. In recent years, with the development of imaging technology, we found that functional remodeling of the brain in addition to spinal cord compression may be one of the reasons for different symptoms. In this paper, we review the research on brain remodeling in CSM using magnetic resonance imaging in recent years, aiming to provide a better imaging basis for treating cervical spondylosis and predicting prognosis.