Summary
Studies on the bone blood circulation of the 4th lumbar vertebra in patients with or without spondylosis were carried out using the method of radiation clearance study, intravertebral blood gas analysis, intravertebral pressure measurements and osteovenography.
Decrease of the intravertebral blood circulation within the spondylotic vertebra was demonstrated, and the lesion of the arterial in-flow system was considered as a responsible factor for spondylotic changes rather than the disturbance of venous out-flow system.
The pathogenesis of spondylosis is discussed in this study.
Résumé
L'étude de la circulation sanguine au niveau de la 4ème vertèbre lombaire a été réalisée chez des sujets atteints ou non de spondylose rhizomélique, par mesure de la clearance isotopique, par analyse des gaz du sang intravertébral, par mesure de la pression intravertébrale et par ostéoveinographie.
La diminution de la circulation sanguine dans la vertèbre spondylosique a été démontrée et la perturbation du système afférent artériel peut être considérée comme le facteur principal plutôt que celle du système veineux efférent.
La pathogénie de la maladie est ensuite discutée.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Arnoldi, C. C.: Intravertebral pressures in patients with lumbar pain. A preliminary communication. Acta Orthop. Scand. 43, 109 (1972)
Arnoldi, C. C., Linderholm, H., Mussbichler, H.: Venous engorgement and intraosseous hypertension in osteoarthritis of the hip. J. Bone Joint Surg. 54B, 409 (1972)
Azuma, H.: Bone marrow circulation. 1st report, experimental studies on intraosseous pressure. J. Jpn. Orthop. Ass. 37, 267 (1963)
Brookes, M., Helal, B.: Primary osteoarthritis, venous engorgement and osteogenesis. J. Bone Joint Surg. 50B, 493 (1968)
Brookes, M.: The Blood Supply of Bone. London: Butterworths (1971)
Cuthbertson, E. M., Siris, E., Gilfillan, R. S.: The effect of ligation of the canine nutrient artery on intramedullary pressure. J. Bone Joint Surg. 46A, 781 (1964)
Cuthbertson, E. M., Gilfillan, R. S., Bachman, R. P.: Spontaneous and induced variations in bone marrow pressure in the dog. Angiology 15, 145 (1964)
Fernandez de Valderrama, J., Trueta, J.: The effect of muscle action on the intraosseous circulation. J. Path. Bact. 89, 179 (1965)
Hirsch, C., Schajowicz, F., Galante, J.: Structural changes in the cervical spine. A study on autopsy specimens in different age groups. Acta Orthop. Scand. Suppl. 109 (1967)
Keck, S. W., Kelly, P. J.: The effect of venous stasis on intraosseous pressure and longitudinal bone growth in the dog. J. Bone Joint Surg. 47A, 539 (1965)
Larsen, R. M., Intramedullary pressure with particular referrance to massive diaphyseal bone necrosis. Ann. Surg. 108, 127 (1938)
Shim, S. S., Hawk, H. E., Yu, W. Y.: The relationship between blood flow and marrow cavity pressure of bone. Surg. Gynecol. Obstet. 135, 353 (1972)
Stein, A. H., Morgan, H. C., Porras, R. F.: The effect of pressor and depressor drugs on intramedullary bone marrow pressure. J. Bone Joint Surg. 40A, 1103 (1958)
Tsuji, H., Shigehiro, S., Matsui, N.: Aetiological considerations on lumbar spondylosis with special referrence to intravertebral arterial changes (in Japanese). Clin. Orthop. (Rinsho Seikeigeka) 5, 295 (1970)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Tsuji, H., Tamaki, T. Studies on the intraosseous blood circulation and the bone marrow pressure in human lumbar vertebrae. International Orthopaedics 2, 17–24 (1978). https://doi.org/10.1007/BF00265998
Issue Date:
DOI: https://doi.org/10.1007/BF00265998