当前位置:
文档之家› 腰椎射频治疗腰椎间盘突出症PPT课件
腰椎射频治疗腰椎间盘突出症PPT课件
❖ Articular processes: sagittal
-
4
1.Joints of the vertebral bodies 椎体间的连结
Intervertebral discs 椎间盘
between bodies of adjacent vertebrae, composed of: ❖ Nucleus pulpous髓核, an inner soft, pulpy, highly elastic structure (gelatinous core ) ❖ Annulus fibrosus纤维环 an outer fibrous ring consisting of fibrocartilage
30
-
31
五、Normal Curves of vertebral column
❖ Cervical curvature颈曲 convex forward
❖ Thoracic curvature胸曲
convex backward
❖ Lumbar curvature腰曲 convex forward
❖ Sacral curvature骶曲 convex backward
-
14
-
15
发生于椎管、侧隐窝和椎间孔。先天 或后天性。颈<10mm,腰<11.5mm
CT:①椎体后缘骨赘向椎管内突入。 ②侧隐窝狭窄:椎间盘退变膨出和上 下关节突肥大是其主要原因,前后径 <2mm为狭窄,2-4mm为可疑。③黄 韧带或后纵韧带肥厚、骨化。④椎体 滑脱—椎板峡部裂或椎间盘、韧带退 变。
❖ Interspinal ligament 棘间韧带
❖ Supraspinal ligament 棘上韧带
❖ Ligamentum nuchae项韧带
❖ Intertansverse ligament横突间韧
带
❖ Zygapophysial joint 关节突关节
-
13
❖ process (7):
spinous process 棘突 transverse process 横突 sup. and inf. articular processes
上、下关节突
❖ Vertebral foramen 椎孔 ❖ Vertebral canal 椎管 ❖ Intervertebral foramen 椎间孔
-
5
Hernia of nucleus pulpous
髓核脱出
-
6
-
7
-
8
-
9
-10 Nhomakorabea-
11
-
12
2.Joints of the vertebral arches 椎弓间的连结
MRI:征象同CT-
16
椎间盘膨出
-
17
椎间盘突出(中央型)
-
18
椎间盘膨出(较严重,向后有突出)
-
19
-
20
-
21
-
22
-
23
-
24
-
25
-
26
-
27
-
28
-
29
-
-
3
Lumbar vertebrae
❖ Vertebrae Body: larger, kidney-shape
❖ Vertebral foramen: larger and triangular
❖ Spinous processes: projects horizontally
❖ Transverse processes: long
❖ Ligamenta flava 黄韧带― elastic ligament, unite laminae of adjacent vertebrae, and complete the posterior wall of vertebral canal; tend to prevent hyperflexion of the vertebral column
-
1
-
2
General features of vertebrae
❖ Vertebral body 椎体 ❖ Vertebral arch 椎弓
pedicle of vertebral arch 椎弓根: sup. and inf. Vertebral notch 椎上、下切迹
lamina of vertebral arch 椎弓板