椎间孔

经椎间孔单枚融合器与椎弓根钉治疗腰椎滑脱症的临床研究

Clinical research on single fusion cage through foramen intervertebrale and pedicle screw used to cure lumbar spondylolisthesis

颈椎后路手术中双侧椎间孔切开预防C5神经根麻痹

Preventing C_5 palsy after cervical posterior surgery by bilateral partial foraminotomy

C组28例，行椎间孔硬膜外胶原酶注射治疗。

28 cases in Group C received extradural injections of collagenase through intervertebral foramen .

椎间孔内腰椎间盘突出的CT诊断

The CT diagnosis of extrusion disc in intervertebral foramen

探讨颈椎椎间孔三维CT测量的临床价值。

To study clinical value of measurement of cervical vertebral foraminal area using 3-DCT .

目的：提高对椎间孔内腰椎间盘突出的CT诊断及临床意义的认识。

Objective : To improve CT diagnostic value of extrusion disc in intervertebral foramen .

所有病例均通过MR图像对肿瘤的部位、形态、大小、边界、信号、是否发生坏死囊变、椎间孔改变及增强后强化情况各方面进行观察分析。

The location , shape , size , edge , signal , necrosis , intervertebral foramen and enhancement change on the MR images were observed and analyzed .

腰椎峡部裂椎间孔形态的MSCT研究

Research of the Morphology of the Lumbar Foraminal in Patients with Spondylolysis by MSCT

结论CT检查可充分显示椎间孔狭窄的解剖结构及引起椎间孔狭窄的各种病理改变，从而可为临床提供可靠的影像学诊断依据。

Conclusion CT can demonstrated anatomic structure of the lumber intervertebral foramen and pathologic change of the lumbar foramen stenosis and provide reliable images for diagnosis of the lumbar foramen stenosis .

结果：颈神经脊髓附着端至椎间孔内侧缘距离平均为8.5±0.3（3.5～11.0）mm，以C5、C6最长；

Results : The distance between spinal nerve roots attached to the intervertebral foramen was 8.5 ± 0.3mm ;

结论MRI技术可较清晰显示SB患者腰骶神经根出椎间孔的情况，为术前评估患者提供较可靠的腰骶部神经局部解剖信息。

Conclusions : MRI associated measurement can exhibit the lumbar-sacral nerve roots clearly , providing reliable information on neural anatomy and anomalies for pre-operative evaluation .

方法50例LDH患者椎间孔阻滞治疗（B组），50例硬膜外腔注药治疗法为对照组（C组）。

Methods 50 patients as experimentals ( B group ) were treated with intervertebral foramen block , the other 50 patients ( C group ) were treated with epidural block .

VRT的椎间孔显示与平片无差异。结论应用颈椎CT各向同性扫描基础进行图像后处理，对于颈椎的形态学研究具有重要的价值。

Conclusion The multi-slice helical isotropic CT scan and post-processing images are of great value in the study of cervical spine .

方法2003-01～2004-04，对腰腿疼患者临床和常规CT检查考虑有椎间孔狭窄时，使用螺旋CT旁矢状位二维重建，诊断并手术腰椎间孔狭窄症15例。

Methods From Jan.2003 to Apr.2004,15 suspected cases with lumbar intervertebral foraminal stenosis based on the routine clinical and radiologic examinations were diagnosed by means of the CT parasagittal reconstruction and operated on .

结论螺旋CT旁矢状位重建可以弥补常规横断CT扫描的不足，对椎间孔显示清晰直观，对手术减压有定位指导意义，有较高诊断价值。

Conclusion The parasagittal reconstruction CT for the lumbar foraminal stenosis can compensate for the drawbacks of the routine axial CT , show more clearly and vividly and guide the operations more accurately .

微创经椎间孔出口入路MED治疗极外型腰椎间盘突出症

Minimally Invasive Through The Entry Of Lumbar-Foraminal Operative Approach Med For Far Lateral Disc Herniation

3例发生CPC渗漏至椎管和椎间孔内，椎管内静脉丛漏2例，椎前静脉漏1例。

Were complicated with epidural and neural foramina leakage of CPC , 2 with vena vertebralis posterior and 1 with vena vertebralis anterior leakage .

目的定量测试前路螺旋融合笼（AFC）对腰骶椎椎间隙高度、椎间孔高度、椎管容积的影响。

Objective To measure qualitatively the influence of AFC on disc height , neuroforamen height and the spinal canal volume of lumbosacral .

结论椎间孔阻滞加痛点注药是治疗PHN的一种较理想方法。

Conclusions The intervertebral foramen block combined with pain spot injection is an effective method in treating post-herpetic neuralgia .

撑开4mm时，椎间孔面积增加33.3%，椎间角度增加136.8%。结论：颈椎撑开器撑开椎间隙时扩大了椎间孔面积，同时也增加了椎间角度；

Conclusion : Being distracted , the distractor can not only increase the foraminal area but also increase the intervertebral angle .

CT及MRI显示囊肿的密度或信号与脑脊液类似，并能显示伸出椎间孔外的硬脊膜外蛛网膜囊肿有分叉征。

On CT and MRI , the cyst carried the same density and signal intensity as the cerebrospinal fluid ( CSF ), and " bifurcate " sign producing by the extradural arachnoid cyst that extended beyond the intervertebral foramen could also be seen .

结论：在颈前路椎间孔开放术中，使用SEP监护预防神经根损伤，效果良好。

Conclusion : SEPs monitoring of the function of the nerve roots during the anterior cervical foraminotomy is demonstrated to be a satisfied way to avoid the neurological damage .

目的评价椎间孔阻滞加痛点注药在带状疱疹后神经痛（简称PHN）中的治疗效果。

Objective To evaluate the effect of intervertebral foramen block combined with pain spot injection in the treatment of post-herpetic neuralgia ( PHN ) .

C5～6神经根出椎间孔后被中斜角肌和前斜角肌交叉的起点腱性纤维而包裹。

The nerve roots of C 5 ~ 6 might be pinched by this muscular fiber from anterior and posterior tubercle immediately after they emerged from the intervertebral foramen .

目的：评价单侧经椎间孔入路椎间植骨融合术（TLIF）对慢性下腰痛的临床疗效。

Objective To evaluate the effects of unilateral transforaminal lumbar interbody fusion ( TLIF ) on chronic low back pain .

最常受累的椎间孔为C5、6、C6、7。主要表现为双上肢感觉减退、肌力下降和反射减弱。

The most frequently affected intervertebral foramen were C 5,6 and C 6,7 . The most significant symptoms after impairment of nerve root were reduced sensation , muscle weakness and diminished reflexes .

结论下腰椎间盘高度≤3mm可以作为椎间孔狭窄诊断的参考标准。

Conclusion : Disc height ≤ 3 mm may be used as reference standard for the diagnosis of the foraminal stenosis in lower lumbar spine .

对可疑的个体早期椎间孔切开可能是避免脊髓拴系发生扩大颈椎板成形术后C5神经根瘫痪的方法。

It may be that early foraminotomy in susceptible individuals and the avoidance of tethering of the cord by excessive laminoplasty may prevent a post-operative palsy of the C5 nerve root .

结果30例SB患者中，13例（43.3%）术前MRI发现有腰骶神经根出椎间孔畸形，8例经手术证实；

Results : In the 30 SB cases , 13 cases ( 43.3 % ) were found having lumbar-sacral nerve roots anomaly ( LSNRA ) when protruding the vertebral foramen by the pre-operative MRI and MPR , while 8 cases were found by the operation .

目的：测量与经椎间孔腰椎椎间融合术（TLIF）相关的解剖参数，以规范和改进手术。

Objective : To investigate some correlated data with transforaminal lumbar interbody fusion ( TLIF ) inorder to standardize and improve surgical procedure theoretically .