中国神经再生研究(英文版) ›› 2014, Vol. 9 ›› Issue (8): 795-797.doi: 10.4103/1673-5374.131593

• 观点:脊髓损伤修复保护与再生 • 上一篇    下一篇

脊柱脊髓损伤病变临床修复治疗:SPECT/CT检测与评价

  

  • 收稿日期:2014-04-11 出版日期:2014-04-25 发布日期:2014-04-25

The clinical rehabilitation of spine and spinal cord disorders: detection and evaluation using SPECT/CT

Max J. Scheyerer 1, Clément M.L.Werner 2, Patrick Veit-Haibach 3, 4   

  1. 1 Centre for Orthopaedic and Trauma Surgery, University Medical Center, Josef?Stelzmann?Str.9, Cologne, Germany
    2 Department of Surgery, Division of Trauma, Surgery, University Hospital Zurich, Zurich, Switzerland
    3 Department of Medical Radiology, Division of Nuclear Medicine, University Hospital Zurich, Zurich, Switzerland
    4 Department of Medical Radiology, Diagnostic and Inverventional Radiology, University Hospital Zurich, Zurich, Switzerland
  • Received:2014-04-11 Online:2014-04-25 Published:2014-04-25
  • Contact: Max J. Scheyerer, M.D., Centre for Orthopaedic and Trauma Surgery, University Medical Center, Josef?Stelzmann?Str.9, Cologne 50924, Germany, maxjscheyerer@gmail.com .

摘要:

脊柱疾病可因为无菌性炎症刺激和压迫脊神经或内脏神经,或由于椎周软组织损伤、小关节错位、增生退变引发的一系列症候群;受损害的脊椎也可继发脊髓、周围神经、血管及自主神经的损害,并刺激神经根鞘及神经根周围的痛觉纤维。德国医疗中心大学Max J. Scheyerer博士的研究证明脊柱SPECT/CT影像学检测,可以在一些方面对治疗脊柱脊髓损伤修复效果的评价有所帮助。

Abstract:

Spine-related disorders are caused by several factors including (1) spinal nerve/visceral nerve stimulation by perivertebral aseptic inflammation, (2) spinal nerve/visceral nerve compression by injured periverterbal soft tissue, dislocated perivertebral small joint, and proliferative/degenerative tissue and, (3) secondary damage to the spinal cord, peripheral nerve, vessels and autonomic nerve, which further stimulate nerve root sheath and surrounding pain-carrying nerve fibers. Dr. Max J. Scheyerer from University Medical Center, in Germany showed that SPECT/CT can be helpful for some aspects by introducing a metabolical dimension to the classical way of morphology-based diagnostic.