颈椎病的影像诊断和检查方法的选择原则

目的 :通过对 15 0例颈椎病影像资料进行分析 ,探讨中老年人颈椎病的影像特征及其检查方法的选择原则。方法 :15 0例均拍标准的 X线平片 ,其中 12例做 CT扫描、4例做 MRI。结果 :12 0例椎体和小关节增生、4 6例序列不齐、5 8例生理屈曲度改变。 32例一个椎间隙变窄 ,6 2例有椎间孔变形 ,8例椎间盘突出或膨出、4例椎管狭窄。 2 0例项韧带钙化。结论 :中老年颈椎病以椎体及小关节增生为常见 X线表现 ,X线平片为首选检查方法 ,绝大部分可明确诊断 ,特殊情况加做 CT、MRI

The Imaging Diagnosis and the Modalities Selection of Cervical Spondylosis

Purpose To research the imaging aspects and modalities selection of cervical spondylosis in middle and senile ages. Methods 150 cases cervical spondylosis include 150 plain films 12 CT scanning and 4 MRI examinations. Results 120 cases of hyperplasia of cervical vertabra and intervertabral facet joints, 46 disorganized sequence, 58 physiological flexure abnormal, 32 narrowing of intervertabral spaces, 62 deformation of vertebral foramen, 8 discs hernia, 4 spinal canal stenosis, 20 nuchal ligament calcification were detected. Conclusion Cervical spondylosis in middle and senile ages are common with hyperplasia of cervical vertabra and intervertabral facet joints, and X-plain film should be the preferred modalities.