借助3D螺旋CT重建探讨脊柱(定点)旋转复位法治疗机制的初步研究

摘要

Objective:To measure position changes of lumber disk herniation before and after treatment of Feng's spinal manipulation to study the mechanism of the manipulation for lumber disk herniation. Methods:In 2010,8 patients with lumber disk herniation were treated by Feng's spinal manipulation, including 3 males and 5 females who ranged in age from 14 to 53 years with a mean of 35.4 years. The patients received CT scan before and after treatment. All images were reconstructed to measure the distance between the apex of the calcified lumber disk herniation and the top of the next adjacent spinal process. Results: The position of calcified lumber disk herniation underwent change after Feng's spinal manipulation,with a slight sub-luxation between the two adjacent vertebrae. Conclusion: If subluxation is restored, the relation between the nerve root and the hemation will undergo change, followed by subsequent change of the hernation mass, thus restoring the inner-outer balance of the spinal column system.%目的:观察脊柱(定点)旋转复位法治疗钙化型腰椎间盘突出症前后钙化髓核空间位置变化,探索研究手法治疗腰椎间盘突出症的机制.方法:2010年采用脊柱(定点)旋转复位法治疗钙化型腰椎间盘突出症8例,男3例,女5例；年龄14～53岁,平均35.4岁.治疗前后进行腰椎及间盘螺旋CT扫描,并对图像进行三维重建,用3D测量方式,测量椎间盘后缘钙化最突点与下一相邻椎体棘突后缘最高点两者连线之间的距离.结果:手法治疗后患椎棘突偏歪消失,症状、体征减轻.椎间盘后缘钙化最突点与下一相邻椎体棘突后缘最高点之间连线距离有细微改变.结论:腰椎间盘突出症存在单(多)个椎体位移,脊柱(定点)旋转复位法纠正患椎椎体位移,同时改变了突出髓核的空间位置,解除或改善与神经根的关系,恢复了脊柱内外因素平衡.