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脊椎骨棘에 關하여

Osteophytes of the Vertebral Column

현대의학 1968년 9권 4호 p.517 ~ 522
윤재용,
소속 상세정보
윤재용 (  ) - 전남대학교 의과대학 해부학교실

Abstract


A roentgenological and gross anatomical studies were made in dissected specimens and in linical materials.
Total of 239 vertebral columns were analysed for the presence of osteophytes in the spine._
Clinical and roentgenological examination was made in 214 unselected patients with presen-6g orthopedic complaints, while anatomical and radiological study was also directed in 245 Cases cadaver dissection in our department.
Classification was based on the four degrees of development, and evaluation was directed as to the distribution at each level, as well as their localization on each vertebral body.
Following results could be obtained.
1. The osteophyte could be demonstrated from the age of twenty reaching a peak in men at age of 30-49 and in women at age of 50-59. Its appearance seemd to be accelerated in the heavy laborer by 10 years than the ordinary person.
2. The incidence was greater on the anterior aspect than on the posterior aspect of the vertebral body.
3. Regional distribution was predominantly high at tenth to twelfth thoracic, and third to fourth lumbar vertebrae, and was apparently related to the curvatures of the vertebral column and the line of gravity crossing them, as in heavy labor.
4. The osteophytes associated with aging were probably the result of physiological compress-ion forces acting on a vertebral column, in which disc degeneration and osteoporosis could claim a significant causative factor.
5. Its presence could be confirmed either by simple dissection of a cadaver or roentgenographic examination.

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