老年颈椎病临床分型及CT诊断价值

目的　分析老年人颈椎病临床特点及CT表现 ,为临床治疗提供依据。方法　分析 4 83例老年颈椎病患者进行椎体及椎间盘CT自由扫描摄片结果。结果　 4 83例患者均患有单纯型颈椎病 (10 0 % ) ;CT表现为骨质增生有 4 4 4例 (占 91.93% ) ,椎间隙变窄、椎间盘变性 2 5 1例 (占 5 1.97% ) ,椎间孔变形 36 2例 (占74 .95 % ) ,生理曲度改变 2 71例 (占 5 6 .11% ) ,小关节及钩椎关节退变 391例 (占 80 .95 % ) ,横突孔狭小145例 (占 30 .0 2 % ) ,椎管狭窄 (中央前后径 <10mm ) 2 90例 (占 6 0 .0 4 % ) ,项韧带钙化 16 9例 (占34.99% )。结论　老年人颈椎经CT检查如有椎间孔变形、钩椎关节退行性改变、椎间隙变窄及椎管狭窄等4种征象中的 2项即可诊断为颈椎病。

The clinical typing and CT diagnostic value of gerontal cervical spondylop-athy

Objective To analyze the features of gerontal cervical spondylopathy and provide evidence of clinical treatment.Methods CT free photography of centrum and intervertebral disk of 483 cases was taken.Results All the cases were ill with simplex cervical spondylophy(100 %).CT showed 444 cases with hyperosteogeny(91.93 %);251 cases with narrow foramen space and denaturation(51.97 %);362 cases with transformation of foramen intervertebral( 74.95 % );271 cases with physiological camber( 56.11 % );391 cases with regression of small joints and spinal joints( 80.95 % ); 145 cases with narrow transverse foramen(30.02 %); 290 cases with narrow canalis spinalis(60.04 %);169 cases with calification of ligamentum nuchae(34.99 %).Conclusion Cervical spondylopathy can be diagnosed when CT shows transformation of foramen intervertebrale,regression of small joints and spinal joints,narrow foramen space and canalis spinalis.