1、第85章 颈、腰椎退行性疾病19:46第一节、颈椎退行性疾病19:46解剖生理19:46Bony structures cervical spine:Posterior viewLateralmassC1 = AtlasC2 = AxisDens Axis /OdontoidC7 = VertebraprominensTransverseforamen vertebral arteryLateral (Zygapophyseal)articulationAnterior viewC2 C7 = VertebraprominensTransverse foramen vertebral arte
2、ryUncinate process / “uncovertebraljoint”19:46Bony structures cervical spine: Atlasmissing vertebral body AxisDens / OdontoidAtlasAxis19:46Bony structures cervical spine:C 3C 7Spinous processWidespinal canalFlat and widearticular facetsTransverse foramen vertebral artery19:46Bony structures cervical
3、 spine:19:46一、 颈椎病（the cervical spondylosis)（病理生理）19:46临床表现19:46一、神经根型颈椎病19:46明确的定位体征19:4619:46二、脊髓型颈椎病19:46三、椎动脉性颈椎病19:46四、交感神经型颈椎病19:46诊断19:4619:46神经根型颈椎病鉴别诊断19:46脊髓型颈椎病的鉴别诊断 后纵韧带骨化症连续型间断型孤立型混合型椎管矢状径狭窄19:46椎动脉型和交感神经型颈椎病的鉴别诊断 锁骨下动脉缺血综合征19:46治疗射19:46手术治疗外侧手术后路手术19:46二、颈椎管狭窄症19:46特点：19:46临床表现辅助检查辅助检查qCT椎管矢状径测量：13mm, 颈椎管狭窄 （ 12mm，相对狭窄；10mm 绝对狭窄）q Pavlov 比值（椎体指数）：椎管矢状径/椎体矢状径 （0.75为椎管狭窄）19:46治疗
