Cervical spinal canal narrowing and cervical neurological injuries

ZHANG Ling; CHEN Hai-bin; WANG Yi; ZHANG Li-ying; LIU Jing-cheng; WANG Zheng-guo

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Cervical spinal canal narrowing and cervical neurological injuries

机译：颈椎管狭窄和颈神经损伤

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Cervical spinal canal narrowing can lead to injury of the spinal cord and neurological symptoms including neck pain,headache,weakness and parasthesisas.According to previous and recent clinical researches,we investigated the geometric parameters of normal cervical spinal canal including the sagittal and transverse diameters as well as Torg ratio.The mean sagittal diameter of cervical spinal canal at C1 to C7 ranges from 15.33 mm to 20.46 mm,the mean transverse diameter at the same levels ranges from 24.45 mm to 27.00 mm and the mean value of Torg ratio is 0.96.With respect to narrow cervical spinal canal,the following charaterstics are found:firstly,extension of the cervical spine results in statistically significant stenosis as compared with the flexed or neutral positions; secondly,females sustain cervical spinal canal narrowing more easily than males;finally,the consistent narrowest cervical canal level is at C4 for all ethnicity,but there is a slight variation in the sagittal diameter of cervical spinal stenosis(≤ 14 mm in Whites,≤12 mm in Japanese,≤ 13.7 mm in Chinese).Narrow sagittal cervical canal diameter brings about an increased risk of neurological injuries in traumatic,degenerative and inflammatory conditions and is related with extension of cervical spine,gender,as well as ethnicity.It is hoped that this review will be helpful in diagnosing spinal cord and neurological injuries with the geometric parameters of cervical spine in the future.

机译：颈椎管狭窄会导致脊髓损伤和神经系统症状，包括颈部疼痛，头痛，虚弱和感觉异常。根据先前和最近的临床研究，我们研究了正常颈椎管的几何参数，包括矢状和横径。 C1至C7颈椎管的平均矢状径在15.33mm至20.46mm之间，相同水平处的平均横径在24.45mm至27.00mm之间，Torg比率的平均值为0.96。对于狭窄的颈椎管，发现以下特征：首先，与屈曲或中立位置相比，颈椎的伸展导致统计学上显着的狭窄;其次，女性比男性更容易使颈椎管狭窄;最后，所有种族一致的最窄宫颈管水平在C4，但颈椎管狭窄的矢状径有细微变化（白人≤14mm，≤日语为12毫米，中文为≤13.7毫米）。狭窄的矢状颈椎管直径会增加外伤，变性和炎症性神经损伤的风险，并与颈椎，性别和种族的延伸有关。希望这项审查对将来诊断颈椎几何参数对脊髓和神经系统损伤有帮助。

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来源
《中华创伤杂志（英文版）》 |2012年第1期|36-41|共6页
作者
ZHANG Ling; CHEN Hai-bin; WANG Yi; ZHANG Li-ying; LIU Jing-cheng; WANG Zheng-guo;
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作者单位

State Key Laboratory of Trauma, Burns, and Combined Injuries, Institute of Surgery Research, Daping Hospital,Third Military University, Chongqing 400042, China;

College of Optoelectronic Engineering, Chongqing University, Chongqing 400044, China;

State Key Laboratory of Trauma, Burns, and Combined Injuries, Institute of Surgery Research, Daping Hospital,Third Military University, Chongqing 400042, China;

State Key Laboratory of Trauma, Burns, and Combined Injuries, Institute of Surgery Research, Daping Hospital,Third Military University, Chongqing 400042, China;

College of Optoelectronic Engineering, Chongqing University, Chongqing 400044, China;

State Key Laboratory of Trauma, Burns, and Combined Injuries, Institute of Surgery Research, Daping Hospital,Third Military University, Chongqing 400042, China;

Bioengineer Center, Wayne State University, Detroit,MI 48201, USA(Zhang LY);

College of Optoelectronic Engineering, Chongqing University, Chongqing 400044, China;

State Key Laboratory of Trauma, Burns, and Combined Injuries, Institute of Surgery Research, Daping Hospital,Third Military University, Chongqing 400042, China;

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收录信息中国科技论文与引文数据库(CSTPCD);
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正文语种 chi
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Cervical spinal canal narrowing and cervical neurological injuries

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