摘要
目的 :探讨颈椎棘突分叉的规律性及其对颈部推拿的指导意义。方法 :在 64具 (套 )汉族男性干燥颈椎骨骼标本上对颈椎棘突的分叉情况进行大体解剖学观测。结果 :C2 棘突分叉的出现率最高(94.4% ) ;而在C7几乎所有标本的棘突都没有分叉 (96.9% ) ;颈椎中段 (C3 ～C6)棘突的分叉分别为82 .8%、81.3 %、78.1%和 60 % ,各节段之间的分叉率差异显著 (P <0 .0 5 )。结论 :C2 和C7可以分别作为颈部推拿的定位标志 ,在应用手法治疗之前必须要分清是由先天性颈椎棘突分叉所致棘突偏歪还是由颈椎偏移所引起的棘突偏歪。
Objective: To investigate the regularity of bifidity of cervical spinous processes and its clinical significance for the cervical spinal manipulation. Methods: The morphological characteristics such as regularity, incidence and length of bifidity of cervical spinous processes were observed in 64 cervical spine specimens. Results: Most individuals (94.4%) had bifid spinous processes at C 2. At C 7, nearly all (96.9%) had not bifid spinous processes. The incidence of bifidity of cervical spinous processes at C 3～C 6 were 82.8%, 81.3%, 78.1% and 60% respectively. Significant differences were found between different vertebral levels at C 2～C 7.Conclusions: C 2 and C 7 are regarded as bony markers during the cervicval spinal manipulation. The bifidity is common and causes asymmetrical geometry of cervical spinous processes at C 2～C 6. Because the bifidity is a valid indicator for the manipulation the clinicians must first be able to differentiate the spinous processes deviation caused by congenital bifidity from that caused by deviation (rotatory) of cervical vertebrae when applying it.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2003年第1期25-26,共2页
Chinese Journal of Clinical Anatomy
关键词
颈椎
推拿
棘突
颈椎病
cervical spine
manipulation
spinous processes
cervical spondylosis
