中国组织工程研究

中国组织工程研究 ›› 2023, Vol. 27 ›› Issue (22): 3580-3586.doi: 10.12307/2023.359

• 骨科植入物相关基础实验 Basic experiments of orthopedic implant • 上一篇    下一篇

颈椎钩突的增龄形态学特征及临床意义

王  星1，阿格茹2，吉热格乐根2，张  弛2，赵  磊2，张媛媛2，卜佳琪2，科尔沁3，赵学婷3，杨媛惠子2，王超群4，李  琨1，张少杰1，史  君5，李志军1   

  1. 内蒙古医科大学，1基础医学院解剖学教研室(数字医学中心)，2第一临床医学院，3鄂尔多斯临床医学院，4附属医院影像科，5基础医学院生理学教研室，内蒙古自治区呼和浩特市   010010
  • 收稿日期:2022-04-15 接受日期:2022-06-22 出版日期:2023-08-08 发布日期:2022-11-02
  • 通讯作者: 李志军，教授，博士生导师，内蒙古医科大学基础医学院解剖学教研室(数字医学中心)，内蒙古自治区呼和浩特市 010010 史君，副教授，内蒙古医科大学基础医学院生理学教研室，内蒙古自治区呼和浩特市 010010
  • 作者简介:王星，男，1979年生，内蒙古自治区乌拉特中旗人，2021年北京中医药大学毕业，博士，副教授，主要从事脊柱脊髓的应用解剖与数字化研究。 阿格茹，女，1999年生，内蒙古自治区鄂尔多斯市人，2019级内蒙古医科大学第一临床医学院临床医学专业在读本科生。 李志军，教授，博士生导师，内蒙古医科大学基础医学院解剖学教研室(数字医学中心)，内蒙古自治区呼和浩特市 010010
  • 基金资助:
    国家自然科学基金资助项目(81860382)，项目负责人：王星；内蒙古自治区自然科学基金资助项目(2020MS03061)，项目负责人：王星；内蒙古自治区高等学校青年科技英才支持计划资助(NJYT22009)，项目负责人：王星；内蒙古自治区科技计划项目(2019GG158)，项目负责人：王星；内蒙古医科大学科研重点项目(YKD2021ZD011)，项目负责人：王星；内蒙古自治区卫生健康委医疗卫生科技计划项目(202201217，202201188)，项目负责人：王星；国家自然科学基金资助项目(81860383)，项目负责人：李志军；内蒙古自治区自然科学基金资助项目(2020LH08021)，项目负责人：李志军；内蒙古自治区自然科学基金资助项目(2019MS08017)，项目负责人：张少杰

Aging morphological characteristics of uncinate process of cervical vertebra and its clinical significance

Wang Xing1, Ageru2, Jiregelegen2, Zhang Chi2, Zhao Lei2, Zhang Yuanyuan2, Bu Jiaqi2, Keerqin3, Zhao Xueting3, Yang yuanhuizi2, #br# Wang Chaoqun4, Li Kun1, Zhang Shaojie1, Shi Jun5, Li Zhijun1   

  1. 1Department of Anatomy of Basic Medical College (Digital Medical Center), 2First Clinical Medical College, 3Ordos Clinical Medical College, 4Imaging Department of Affiliated Hospital, 5Department of Physiology of Basic Medical College, Inner Mongolia Medical University, Hohhot 010010, Inner Mongolia Autonomous Region, China
  • Received:2022-04-15 Accepted:2022-06-22 Online:2023-08-08 Published:2022-11-02
  • Contact: Li Zhijun, Professor, Doctoral supervisor, Department of Anatomy of Basic Medical College (Digital Medical Center), Inner Mongolia Medical University, Hohhot 010010, Inner Mongolia Autonomous Region, China Shi Jun, Associate professor, Department of Physiology of Basic Medical College, Inner Mongolia Medical University, Hohhot 010010, Inner Mongolia Autonomous Region, China
  • About author:Wang Xing, MD, Associate professor, Department of Anatomy of Basic Medical College (Digital Medical Center), Inner Mongolia Medical University, Hohhot 010010, Inner Mongolia Autonomous Region, China Ageru, First Clinical Medical College, Inner Mongolia Medical University, Hohhot 010010, Inner Mongolia Autonomous Region, China
  • Supported by:
    the National Natural Science Foundation of China, No. 81860382 (to WX); Natural Science Foundation Project of Inner Mongolia Autonomous Region, No. 2020MS03061 (to WX); Youth Science and Technology Talents Support Program of Inner Mongolia Autonomous Region Colleges and Universities, No. NJYT22009 (to WX); Science and Technology Plan Project of Inner Mongolia Autonomous Region, No. 2019GG158 (to WX); Key Scientific Research Project of Inner Mongolia Medical University, No. YKD2021ZD011 (to WX); Health Commission Medical and Health Technology Project of Inner Mongolia Autonomous Region, No. 202201217, 202201188 (to WX); National Natural Science Foundation of China, No. 81860383 (to LZJ); Natural Science Foundation of Inner Mongolia Autonomous Region, No. 2020LH08021 (to LZJ); Natural Science Foundation of Inner Mongolia Autonomous Region, No. 2019MS08017 (to ZSJ) 

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摘要：


文题释义：

钩椎关节(Uncovertebral Joint，UJ)：又称Luschca关节(Luschka joint)，是由颈椎椎体上面侧方的骨性突起——钩突与相邻上位椎体下面侧方的斜坡关节面构成，具有限制椎体间侧方移位的作用；是由德国解剖学家Von Luschka于1858年首次观察发现并提出，后学术界以其名字命名了钩椎关节。
钩突：位于椎体上面后外侧呈矢状位的嵴样隆起，与椎间孔、横突孔及椎间盘紧密相邻。

背景：钩椎关节作为颈椎所特有的结构，其发生、发育、发展与颈椎的稳定性和活动度密切相关，也与颈椎病的发病密切关联，了解钩椎关节的发育特点对颈椎病的发病类型、诊断与治疗有着重要意义。
目的：通过对不同年龄段的颈椎钩椎关节中钩突相关径线的测量，以发现其随年龄增长、椎序递增的变化规律。
方法：采取回顾性研究，收集不同年龄的颈椎影像学资料1 447例，根据年龄分为：< 10岁、10-19岁、20-29岁、30-39岁、40-49岁、50-59岁、≥ 60岁组，对钩椎关节中钩突长、高、宽、钩-横间距、钩突间距、钩突前脚间距和钩突后脚间距进行测量。
结果与结论：①测量结果发现钩突相关结构部分存在着男女性别和左右侧别间的差异，钩突的长、高、宽随椎序的递增和年龄的增长总体呈缓慢递增趋势；钩突间距、钩突前脚间距、钩突后脚间距随椎序递增呈缓慢递增趋势，但在年龄增长中该三者间距变化不很显著；钩-横间距随椎序递增呈缓慢递增，但增龄变化不显著。②结果说明，颈椎钩椎关节中钩突相关结构存在着性别和侧别差异，并且随年龄增长和椎序增加整体呈缓慢递增趋势，掌握钩椎关节增龄特点和发育规律，可以为相关颈椎病的预防、诊断与治疗提供理论依据。

https://orcid.org/0000-0003-0059-4921 (王星)；https://orcid.org/0000-0002-3524-0376 (阿格茹)

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

关键词: 钩突, 钩椎关节, 形态学, 增龄变化, 临床意义, 颈椎

Abstract: BACKGROUND: As a unique structure of cervical vertebra, the occurrence and development of uncinate joint are closely related to the stability and range of motion of cervical vertebra, but it is also closely related to the incidence of cervical spondylosis. Understanding the developmental characteristics of uncinate joint is of great significance to the type, diagnosis and treatment of cervical spondylosis.  
OBJECTIVE: To find the changing rules of uncinate process with age and increasing vertebral order by measuring the related diameters of uncinate process in cervical uncinate joints of different ages.
METHODS: In a retrospective study, the imaging data of 1 447 cases of cervical vertebrae of different ages were collected. According to the age, they were divided into < 10 years, 10-19 years, 20-29 years, 30-39 years, 40-49 years, 50-59 years, ≥ 60 years groups. The uncinate process length, width, height, uncinate-transverse distance, uncinate process distance, anterior foot distance and posterior foot distance of uncinate process were measured.  
RESULTS AND CONCLUSION: (1) The results showed that there were differences between males and females in the related structure of uncinate process, and the length, height and width of uncinate process increased slowly with the increase of vertebral sequence and age. The distance between uncinate process, the distance between the front foot of uncinate process and the distance between the posterior foot of uncinate process increased slowly with the increase of vertebral sequence, but the distance between them did not change significantly with the increase of age. The distance between hook and transverse increased slowly with the increase of vertebral order, but the change with age was not significant. (2) These results have concluded that there are gender and lateral differences in the uncinate process related structure of the uncinate joint of the cervical vertebra, and the overall trend increases slowly with the increase of age and vertebral order. Mastering the aging characteristics and development law of the uncinate joint can provide a theoretical basis for the prevention, diagnosis and treatment of related cervical spondylosis.

Key words: buncinate process, uncovertebral joint, morphology, changes with increasing age, clinical significance, cervical vertebra

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