颈椎未成熟骺环的影像学观察

doi:10.13418/j.issn.1001-165x.2025.1.05

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中国临床解剖学杂志 ›› 2025, Vol. 43 ›› Issue (1) : 26-30. DOI: 10.13418/j.issn.1001-165x.2025.1.05

断层影像解剖

颈椎未成熟骺环的影像学观察

谢思远¹，林源洵¹，张沄奡龙¹，冯梓誉¹，李义凯^1,2*

作者信息 +

Radiographic observation of cervical immature epiphyseal ring

Xie Siyuan¹, Lin Yuanxun¹, Zhang Yunaolong¹, Feng Ziyu¹, Li Yikai^1,2*

Author information +

文章历史 +

摘要

目的探讨人体颈椎骺环的正常发育过程，为疾病的诊断和治疗方案的确定提供依据。方法回顾性选取2015年1月~2023年12月就诊于南方医科大学南方医院接受颈部X线侧位片的患者250例（女98例，男152例）。将C2至C7下方的前后侧骺环分为软骨期、骨化期、融合期、成熟期4个阶段。测量骨化期骺环的高度、长度、与椎体前/后缘的距离（AP距离）、与椎体下缘的距离（CC距离）等参数，并分析这些参数与年龄的相关性。结果椎体下方骺环的骨化最早发生在一个3岁的儿童上，15岁以上儿童的所有椎体下骺环均开始骨化，C7下方的前侧是最早开始骨化的部位，前侧骺环的骨化通常早于后侧，但后侧骺环更早与椎体融合。在25岁年龄组，仍有20%的骺环没有与椎体完全融合。骨化期骺环的平均高度为（0.7±0.3） mm，平均长度为（2.8±1.6） mm，平均AP距离为(1.3±0.6) mm，平均CC距离(0.4±0.2) mm。其中92%骺环的AP距离不大于2.0 mm，99%骺环的CC距离不大于1.0 mm。各项参数与年龄均不存在显著的相关性。结论本研究通过观察颈部X线侧位片得出我国儿童颈椎骺环的正常发育过程，有助于临床工作中对个体发育情况的评估，并指导疾病的诊断与治疗。

Abstract

Objective To investigate the normal developmental process of human cervical epiphyseal ring, so as to provide basis for the diagnosis of disease and the determination of treatment plan. Methods Two hundred and fifty patients (98 females and 152 males) who attended Nanfang Hospital of Southern Medical University to receive cervical X-ray lateral radiographs from January 2015 to December 2023 were retrospectively selected. The anterior and posterior epiphyseal rings below C2 to C7 were divided into four stages according to development stage: cartilage stage, ossification stage, fusion stage, and maturity stage. The height, length, distance from anterior/posterior margin of vertebral body (AP distance), and distance from the inferior margin of vertebral body (CC distance) of epiphyseal rings in the ossification stage were measured, and the correlation between these parameters and age was analyzed. Results The ossification of epiphyseal ring first occurred on a 3-year-old child. All epiphyseal rings began to ossify in children over 15 years of age. The anterior side below C7 was the earliest to begin ossification, and anterior epiphyseal ring usually ossified earlier than posterior side, but posterior epiphyseal ring fused to vertebral body earlier. In the 25-year age group, 20 % of epiphyseal rings were still not completely fused to vertebral body. The mean height of epiphyseal rings during ossification stage was (0.7±0.3) mm, the mean length was (2.8±1.6) mm, the mean AP distance was (1.3±0.6) mm, and the mean CC distance was (0.4±0.2) mm. In 92 % of epiphyseal rings, the AP distance was not greater than 2.0 mm, and in 99 % of epiphyseal rings, the CC distance was not greater than 1.0 mm. There was no significant correlation between any of the parameters and age. Conclusions In this study, the normal developmental process of cervical epiphyseal rings in children in China was derived from the observation of cervical X-ray lateral radiographs, which is helpful for the assessment of individual development in clinical work and guiding the diagnosis and treatment of diseases.

导出引用

谢思远, 林源洵, 张沄奡龙, 冯梓誉, 李义凯. 颈椎未成熟骺环的影像学观察[J]. 中国临床解剖学杂志. 2025, 43(1): 26-30 https://doi.org/10.13418/j.issn.1001-165x.2025.1.05

Xie Siyuan, Lin Yuanxun, Zhang Yunaolong, Feng Ziyu, Li Yikai. Radiographic observation of cervical immature epiphyseal ring [J]. Chinese Journal of Clinical Anatomy. 2025, 43(1): 26-30 https://doi.org/10.13418/j.issn.1001-165x.2025.1.05

中图分类号： R322.7

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