Chinese Journal of Tissue Engineering Research ›› 2010, Vol. 14 ›› Issue (17): 3094-3098.doi: 10.3969/j.issn.1673-8225.2010.17.014

Previous Articles     Next Articles

Evaluating the clinical efficacy of the traction therapy for cervical spondylosis by color Doppler flow imaging and transcranial Doppler sonography

Wang Lin1, Sun Yue-fang1, Chen Xian-fu1, Liu Min2, Song Jun-xue3, Li You-qiong1   

  1. 1 Department of Human Anatomy, School of Basic Medical Sciences, Jilin University, Changchun   130021, Jilin Province, China; 2 Department of Electrical Diagnosis, First Affiliated Hospital of Changchun University of Chinese Medicine, Changchun   130021, Jilin Province, China; 3 Department of Ultrasound of Hepatobiliary and Pancreatic Medicine, First Affiliated Hospital, Jilin University, Changchun   130021, Jilin Province, China
  • Online:2010-04-23 Published:2010-04-23
  • About author:Wang Lin, Master, Associate chief physician, Department of Human Anatomy, School of Basic Medical Sciences, Jilin University, Changchun 130021, Jilin Province, China wlin101@163.com
  • Supported by:

    the Scientific Research Foundation of Department of Medical Science and Education of Health Ministry, No. 20070831 *

PDF

890

Abstract:

BACKGROUND: Appropriate direction and angle of traction for the vertebral artery type cervical spondylosis (CSA) make significant effect. Selective angiography is recognized as “gold standard” to diagnose the vascular disease. Although magnetic resonance angiography as a non-invasive examination, there exist shortcomings such as a longer time checking, vulnerable to man-made factors, a certain aggressive feature.
OBJECTIVE: Through the use of color Doppler flow imaging (CDFI) and transcranial Doppler sonography (TCD) adding the test of turning neck, to analyze the change of blood current parameter before and after the tractions from different directions and angles.
METHODS: 240 cases suffering CSA were selected and divided into groups according to anatomy angle of lesion parts (upper cervical segments, lower cervical segments, mixed type) and traction mode, angel (anteversion sitting position 1°-10°, 11°-20°, 21°-30° groups, posterior extension sitting position 1°-10°, 11°-20°, 21°-30° groups, neutral position sitting position group). Local massage served as control group. The indexes of vertebral artery of neck part including inner diameter (D) of narrowest location, peak systolic velocity and average velocity of blood were measured by CDFI adding the test of turning neck. The indexes of left vertebral artery, right vertebral artery and basilar artery including peak velocity (Vp) of period of contraction and mean velocity (Vm) of blood were measured by TCD adding the test of turning neck.
RESULTS AND CONCLUSION:  ① We determined vertebral artery type of cervical spondylosis on the base of anatomic site. On the basis of diseased region, we divided cervical syndrome into 3 types. They were superior part (C1-C3), inferior part (C4-C6) and commixture. It offers clinical guidance for traction therapy from spondylous morphous and mechanics. ② We determined the best angle of traction. The therapeutic efficacy in posterior extension sitting position occupying 11-20° was better in upper hind neck; the therapeutic efficacy in anteversion sitting position occupying 11-20° was better in inferior neck; the therapeutic efficacy in anteversion sitting position occupying 1-10° was better in neutral position sitting position. ③ We knew that CDFI and TCD are the convenient, non-invasive, safe and reduplicative methods to guide traction therapy in vertebral artery type of cervical spondylosis.

CLC Number: