The 3DCT Manifestation of Cervical Spondylopathy
Abstract：Objective To study the value of three-Dimension Computer Tomograph (3DCT) in the diagnosis of cervical spondylopathy. Methods Adopt 3DCT technique to examine 300 patients who are clinically diagnosed as cervical spondylopathy, which contain 145 nerve root form cases, 41 vertebral artery form cases, 40 myeloid form cases, 73 mixed form cases and 1 esophageal compression form patient. And observe the cervical vertebral hyperosteogeny, size of intervertebral foramen, the correlation between vertebral artery and spondylopathy hyperosteogeny, the alteration in the osseous spinal canal stenosis with 3DCT. Results 21.3% patients have hyperosteogeny in the cervical vertebral body, 42.2% and 16.2% patients respectively have hyperosteogeny in the uncinate process articulation and zygapophysis, in addition, 12 zygapophysises have been dislocated. In 145 cases of nerve root form patient, stenosis is found in 439 intervertebral foramen, of which C6-7 and C5-6 intervertebral foramen stenosis account for 81.3%. The causes of intervertebral foramen stenosis are uncinate process articulation hyperosteogeny, intervertebral disc protrusion, vertebral body hypertrophy, zygapophysis hyperosteogeny, dislocation et al. Vertebral artery form cervical spondylopathy is manifested as the compression of vertebral artery (22.0%) by osteophyte and thinning or thickness difference of vertebral artery, 12.1% patients demonstrate no abnormality. The 3DCT manifestation of myeloid form cervical spondylopathy includes cervical spinal canal stenosis, hyperosteogeny of posterior vertebral body edge, posterior longitudinal ligament calcification and cervical intervertebral disc protrusion et al. Conclusion 3DCT could comprehensively evaluate the effect of cervical intervertebral disc regression and cervical vertebral hyperosteogeny on the nerve, blood vessel and spinal cord, it is a practical image examination method for the diagnosis of cervical spondylopathy.
Keywords：Cervical spondylopathy 3DCT
Publication Date：2004-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 182-184,187 )