颈椎退行性变课件

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1、Cervicalspondylosis颈椎退行性变RelativeAnatomy相关解剖Cause（诱因）Theprimarydegenerativechangesareofteninitiatedbyinjury（原始诱因-损伤）Inothercasestheconditionisimplyamanifestationofnormalwear-and-tear.（与年龄相关退变）Pathology（病理）Primaryeffects（原始损伤）多于下3颈椎）影响椎间关节及后关节突骨刺，椎间隙变窄Secondaryeffects（其他影响）椎间孔变窄骨刺压迫椎管Clinicalfeatur

2、es临床表现Necksymptoms颈部疼痛Intheupperlimb上肢症状Nerverootirritation神经根受刺激Paraesthesiae,muscleweaknessisuncommon.响应神经症状Onexamination体检Neck:颈部Curvetureofcervical（颈部曲线）Movements（运动）Intheupperlimb（上肢）Neurologicalsigns:motorweaknessorsensoryimpairment（响应神经症状）Radiographicfeatures放射线表现Narrowingoftheintervertebra

3、ldiscspace（椎间隙变窄）Formationofosteophytesatthevertebralmargins,especiallyanteriorly（骨刺形成多于前方）Encroachentofosteophytesuponanintervertebralforamen（骨刺造成压迫）Case1-Radiculopathy病例1-神经根孔压迫Casereport-2:病例2：PhysicalexaminationPhysicalexaminationPhysicalexaminationCase-3:laminoplasty病例3：椎板成型术