颈椎病的X线、CT诊断及临床病理分析

目的 探讨颈椎病的诊断方法。方法 对73例颈椎病的回顾分析。结果 颈椎病的X线及CT表现主要是生理屈度改变（变直或反曲）；椎间盘突出；小关节及钧椎关节退变增生，致侧隐窝及椎问孔、横突孔变窄；椎体前缘及后缘骨质增生。结论 由于上述改变致硬膜囊，神经根、椎动脉受压及交感受神经受压、刺激产生一系列的临床症状，形成颈椎病；CT在其诊断上虽较X线平片优越，但平片仍是基础和首选。

Cervical spondyolsis diagnosis by X-ray, CT and its clinical pathological analysis

Objective] To explore diagnosis methosd of cervical spondyolsis. Method] To observe and analysis 73 cases of cervical spondyolsis. Result] Its clinical menifetation are all shown by X-ray and CT. There are: the changes of the physiological curvature; the diskal hernia; the degrading and hyperplasia of the small joint and which causes the narrowing of the side-crypt, intervertebral foramina and transverse foramen; the hyperosteogeny of the centrum's inlet and trailing edge. Conclusion] The changes mentioned above make the hard membranous sac, the nerve root, the vertebral artery and the gangliated nerve stressed and stimulated, which produces a series of clinical symptom and form the cervical spondyolsis; On diagnosis, the CT is superior to the plain film of X-ray, but the latter is still the foundation and the preference.