关节突

青少年胸腰椎关节突形态研究及意义髌股关节解剖形态的MRI观测及其意义

The measurement of adolescent thoracic and lumbar articular process and its significance MRI study and the significance of patellofemoral joint

结论：在L4、L5椎弓根层面上，以上关节突基部外侧缘为进针点较佳。

Conclusion : On the transverse sections through the pedicle of L4 , L5 , the entering point through lateral margin of the superior articular process basis was the best one .

方法用本组病例结合文献对关节突关节病的发病与CT表现进行综合研究。

Methods CT findings of the processus articularis arthropathy was analysed .

腰椎间盘突出症腰椎关节突关节的CT分析

CT Analysis of the Facet Joints on Lumbar Disc Herniation

颈椎病患者关节突关节面方位的CT观测

Observation on the orientation of the cervical zygapophyseal joint in cervical spondylosis cases

成人下颈椎椎体与关节突关节倾角的X射线测量数据

X-ray measurements of inclination of zygapophyseal joints of adult inferior cervical spines

结果CT扫描显示以下特征：（1）关节突间部的骨性缺损；

Results CT findings showed the following characters of spondylolisthesis : 1.Bone defect of the pars interarticularis .

目的：分析腰椎关节突间小关节综合征的CT征象及其临床意义。

Objective : To evaluate the CT findings of the lumbar facet syndrome and their clinical significance .

人和大鼠腰椎关节突关节的SP能神经纤维的分布

Substance P innervation of lumbar zygapophyseal joints in human and rats

如果单纯MRI足以评估小关节突性关节炎，我们可以确诊。

We sought to determine if the MRI alone is adequate to assess for the presence of facet arthrosis .

结论关节突关节病是一种发病率很高的疾病，CT扫描对本病具有重要意义。

Conclusion The processus articularis arthropathy is a very high incidence of a disease . The CT scanning is very important significance to the disease .

材料和方法：通过76例正常人与158例腰椎间盘突出症患者的CT资料研究，测量关节突关节角度。

Materials and methods : In a study of CT imaging of 76 normal subjects and 158 patients with intervertebral disc herniation measured the angles of lumbar facet joint .

目的：探讨关节突关节形态改变与退行性腰椎滑脱（DS）的关系。

Objective : To investigate the relationship of lumbar facet joint morphology with degenerative spondylolisthesis ( DS ) .

结果通过94例关节突关节病的CT所见，总结出5项主要征象：①关节增生肥大及骨赘形成；

Results According to the CT findings of the 94 cases processus articularis arthropathy , CT signs and the syndrome of this disease were summarized five types : ① zygapophyseal hypertrophy and osteophyte formation ;

结论：临床表现结合MRI和CT检查，是诊断胸椎黄韧带骨化的重要手段，整块半关节突全椎板切除术为治疗的有效术式。

Conclusion : Clinic history and neurological examination associated with MRI and CT was the important means of the diagnosis of OLF , en bloc hemi-articular process laminectomy was an effective surgical approach .

在后伸时，ROM和NZ则受影响很小，虽然此时COR更靠近关节突关节。

In extension , ROM and NZ were little affected , although the COR moved closer to the apophyseal joints .

取63只大鼠，咬除L5～6棘突、右侧椎板和关节突，暴露椎间盘。

L5-6 processus spinosus , right vertebral plate and processus articularis of 63 rats were removed to expose intervertebral disc .

结果：腰椎侧位片上测量的自关节突关节间隙下缘至椎体前缘距离乘以0.83即是螺钉长度，椎弓根CT扫描测量其长度更为准确。

Results : The length of pedicle screw could be obtain accurately on CT and lateral X ray film , and the length was equal to multiply by 0.83 the distance from the anterior cortex of vertebral to the facet joint .

CT均可发现附件发育异常，如：椎板裂6例，横突不对称1例，关节突异常肥大2例，关节突呈双突畸形2例，双侧小关节不对称5例。

Developmental anomaly of the appendage for all cases existed in CT images , such as vertebral lamina brisement in 6 cases , transverse process unsymmetry in 1 cases , hypertrophy , deformity or unsymmetry of intervertebral facet joints in 9 cases .

结论后路减压、椎弓钉系统复位内固定、VigorSpacer椎间融合器和小关节突间植骨治疗腰椎滑脱，效果良好，复位稳定满意。

Conclusion Treatment of lumbar spondylolisthesis with decompressive laminectomy , RF - ⅱ instrumentation , posterior interbody fusion Vigor Spacer and bone grafting has excellent clinical results and stable reduction .

Wallis棘突间固定对腰椎活动度和关节突关节内压的影响

Effects of Wallis Posterior Dynamic Stabilization System on the Range of Motion of Lumbar Spine and the Stress of Zygapophysial Joints

颈椎间盘假体置换后，C4，C5和C4～5关节突关节的应力值较正常组略减小（P0.05）。

After cervical intervertebral disc prosthetic replacement , the strain value of C4 , C5 and C4-5 zygapophysial joints slightly decreased than that of normal group ( P 0.05 ) .

[结论]L4、5、L5、6关节突关节破坏导致椎间失稳，椎间失稳后可以诱发出椎间盘退变的组织学改变。

[ Conclusion ] Histological changes of intervertebral disk degeneration can be induced by destroying L4 、 5 and L5 、 6 zygapophysial joints of New-Zealand rabbit .

结果MPR和3D重建对于椎体骨折显示效果好，尤其3D重建显示椎体旋转蛐脱位最为直观，但对于关节突关节脱位的显示，MPR和3D重建均逊于横轴位。

Results : MPR and 3D images demonstrated vertebral body fracture very well , 3D was more accurate in showing rotation and / or dislocation of vertebrae than other techniques . But axial images showed dislocation of articular joint better .

提示，颈椎关节突关节疼痛综合征并发上臂牵涉痛的神经形态学基础之一可能发生在DRG水平。

The present results suggest that the nociceptive syndrome of cervical zygapophyseal joints with pain in human upper limb might be the referred pain occurring in the level of the DRG .

结论：以关节突为参照物，通过术前CT测定椎弓根进钉点及TSA指导术中置钉操作，有简便、直观及可靠的优点。

Conclusions : The way of guiding the operation of pedicle screw entrance by the pedicle screw entrance point and TSA which were determined by CT and taking the joint protrusion as the reference is simple , intuitionistic and reliable .

目的利用压敏片（PSF）技术，测量颈椎前路手术后关节突关节内压力的变化，探讨颈前路手术后远期邻近节段退变的生物力学发病机制。

Objective To explore the biomechanical mechanism of long-term complication of cervical spinal operations by measuring pressure changes of zygapophysial joints using pressure sensitive film ( PSF ) after cervical spine anterior operations .

腰椎双侧关节突关节和腰椎间盘构成了运动节段的稳定三角，称关节三联体结构（Tri-jointcomplex，TJC），三者相互制约，使脊柱趋向稳定。

The lumbar disc and bilateral zygapophyseal joints play an very important role in the stability of lumber spine . They form the tri-joint complex ( TJC ) .

DS的病因不明，可能与椎间盘、关节突关节的不对称退变、骨质疏松和遗传学因素有关，但这些并不是发生退行性脊柱侧凸的直接原因。

The pathogenesis of DS is still unknown . Although osteoporosis , asymmetric degenerative disc disease , facet tropism and inheritance have been implicated as factors in the development of degenerative scoliosis , none has been shown to be directly related .

方法：采用原发性骨质疏松症患者和正常人腰椎椎板近关节突部松质骨组织切片，以IL6、bFGF单克隆抗体进行免疫组化研究。

Methods : Cancellus bone chips were taken from the axial bone of POP ( primary osteoporosis ) and control during operation . Slides were made and stained with IL-6 , bFGF monoclonal antibody .