极限旋转体位对上颈椎椎动脉管腔的影响

doi:10.13418/j.issn.1001-165x.2018.01.016

Abstract

Abstract:

Objective　To analyze the influence of different end-range cervical rotation on the vertebral artery lumen with CTA. Methods To trim 8 fresh cervical adult specimens with upper cervical spine(C0~4) is used to build the vitro model loaded 3 kg of vertebral artery. Contrast agent is injected into vertebral artery and the vertebral artery cross-sectional area in the section(C1,C1/2, upper part of C2 vertebral body 1/3, lower part of C2 vertebral body,C3) of the cervical spine were measured by CT in the end-range cervical positions fixed by gimbal mounting: The data were analyzed to study the mechanism of action of vertebral artery space form out of neurohumoral regulation control. Results The end-range rotation and the end-range extension rotation caused homolateral vertebral artery stenosis (P<0.05), not on heterolateral (P>0.05), and narrow areas always appeared on upper part of C2 vertebral body 1/3. Conclusion (1)The composite vitro vertebral artery model loaded can be used to analyze the influence of different end-range cervical rotation on the vertebral artery lumen with CTA; (2) The end-range rotation and the end-range extension rotation caused homolateral vertebral artery stenosis out of neurohumoral regulation control, and narrow areas always appeared on upper part of C2 vertebral body 1/3 （The outside of the atlantoaxial lateral mass）.

Key words: Upper cervical, 　End-range rotation, 　Vertebral artery, 　Lumen, 　Computed tomography angiography

ZHANG Fa-yao, FENG Min-shan, ZHU Li-guo. Influence of different end-range upper cervical rotation on the vertebral artery lumen[J]. Chinese Journal Of Clinical Anatomy, 2018, 36(1): 71-76.

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Influence of different end-range upper cervical rotation on the vertebral artery lumen

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