Traditional Culture Encyclopedia - Photography major - Oh, the cervical spine is upside down!
Oh, the cervical spine is upside down!
If you want to know, you must first understand what the normal cervical physiological curve is like. The physiological curve of cervical vertebra means that the anteroposterior position of cervical vertebra is a vertical straight line from the anteroposterior position of cervical vertebra. Seen from the lateral radiograph, the cervical vertebra has an arc protruding forward, and along this arc, a continuous and smooth arc protruding curve is formed at the rear edge of each cervical vertebra. The arc apex is located between the C4-5 leading edges, and the arc chord distance is12 5 mm. The measurement method is to extend from the posterior edge of odontoid process to the posterior edge of cervical vertebra, as shown in the following figure:
In fact, there are three such continuous and smooth arcs. What we saw just now was the posterior edge of vertebral body, and there are two others, which are located at the anterior edge of vertebral body and the posterior edge of lamina. The picture below is a picture of a normal cervical vertebra.
We know what is normal, so let's talk about what is cervical reverse arch! Cervical reverse arch is a common cervical spondylosis.
However, in daily life, many people's bad postures will lead to changes in the physiological curve of cervical spine, such as: high pillow, long desk, long time watching mobile phones and so on.
The changes of cervical physiological curve can reflect the changes of spinal cord, nerve roots, blood vessels and sympathetic nerves at the earliest time, which should be regarded as the result of imbalance of various factors to maintain cervical stability. It can appear in early patients and adolescents without bone degeneration, or in the period of recurrence, obvious bone changes and decompensation. Cervical curvature changes can be divided into physiological lordosis increase or decrease, straightening, anti-bow, angulation and so on. Reverse bow is one of them, which means that the physiological curve is reversed, the normal protrusion disappears, and the straight curve protrudes backward, as shown in the following figure:
So, can cervical vertebra reverse arch cause diseases?
Cervical reverse arch will cause biomechanical changes of cervical spine, lead to degeneration of cervical intervertebral disc, and produce a series of pathological changes, such as bulging or protruding of cervical intervertebral disc, narrowing of cervical intervertebral space, relaxation of ligament and instability of vertebral body. , leading to stenosis of neurovascular pathways such as spinal canal, intervertebral foramen and vertebral artery foramen, leading to stimulation or compression of spinal cord, nerve root, sympathetic nerve, vertebral artery and other clinical symptoms, such as dizziness, tinnitus and neck rigidity.
Neurovascular map of the neck:
See the disease caused by cervical vertebra reverse arch, is it terrible? !
In fact, with cervical inversion, inversion and symptoms can be improved and eliminated as long as medical treatment is timely and correct! At present, most cervical spondylolisthesis can be cured by traction, massage, acupuncture and other clinical interventions, except surgery.
A week ago, a patient suffered from insomnia, severe pain in the neck and shoulders, radiation pain and numbness in the right upper limb due to inverted cervical arch and bilateral double protrusion sign. The patient has unbearable pain, can't sleep at night, and the affected limb can't be placed. Jacking test (++), right brachial plexus traction test (++), left (-), intervertebral foramen compression test (+), and so on. The picture below shows the film taken when the patient was admitted to the hospital:
After a period of adjustment therapy, the symptoms of the patient basically disappeared and the cervical arch was improved, as shown in the following figure:
Comparison of patients before and after treatment of cervical reverse arch;
"Ling" can't be lost, and it will never come again! I hope everyone can protect their cervical vertebrae in peacetime, otherwise, when the spine loses its normal curvature, diseases will follow, and health will naturally be lost! !
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