84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]林華杰,李啟運(yùn),徐榮明,等.下頸椎椎板螺釘固定的可行性研究[J].中醫(yī)正骨,2012,24(12):11-14.
　LIN Hua-jie*,LI Qi-yun,XU Rong-ming,et al.The feasibility study of screw fixation on lower cervical vertebral plate[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2012,24(12):11-14.
點(diǎn)擊復(fù)制

下頸椎椎板螺釘固定的可行性研究()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第24卷
期數(shù):
2012年12期
頁(yè)碼:
11-14
欄目:
脊柱損傷
出版日期:
2012-12-20

文章信息/Info

Title:
The feasibility study of screw fixation on lower cervical vertebral plate
作者:
林華杰1; 李啟運(yùn)1; 徐榮明2; 劉觀燚2; 馬維虎2; 孫韶華2; 黃燎原2
1.浙江省寧波市中醫(yī)院,浙江 寧波 315010;
2.浙江省寧波市第六醫(yī)院,浙江 寧波 315040
Author(s):
LIN Hua-jie*; LI Qi-yun; XU Rong-ming; LIU Guan-yi; MA Wei-hu; SUN Shao-hua; HUANG Liao-yuan.
*Traditional Chinese Medical Hospital of Ningbo City,Ningbo 315010,Zhejiang,China
關(guān)鍵詞:
頸椎 椎板 骨折固定術(shù); 內(nèi) 解剖學(xué) 可行性研究
Keywords:
Cervical vertebrae;  Vertebral plate;  Fracture fixation; internal;  Anatomy;  Feasibility study
摘要:
目的:測(cè)量下頸椎椎板的解剖學(xué)參數(shù),探討對(duì)國(guó)人進(jìn)行下頸椎椎板螺釘固定的可行性。方法:用游標(biāo)卡尺和量角器測(cè)量20具成人尸體C3～C7標(biāo)本與下頸椎椎板螺釘進(jìn)釘技術(shù)相關(guān)的解剖學(xué)數(shù)據(jù),包括棘突根部、椎板中部和下關(guān)節(jié)突中部的椎板高度,椎板上、中、下部的厚度,釘?shù)篱L(zhǎng)度,進(jìn)釘點(diǎn)至椎動(dòng)脈及脊髓的距離,椎板軸線與矢狀面的夾角。隨機(jī)抽取100例正常成年人下頸椎CT圖像,測(cè)量C3～C7椎板的相關(guān)解剖數(shù)據(jù),包括椎板中部厚度、釘?shù)篱L(zhǎng)度、進(jìn)釘點(diǎn)至椎動(dòng)脈的距離、進(jìn)釘點(diǎn)至脊髓的距離、椎板軸線與矢狀面的夾角。結(jié)果:20具成人尸體C3～C7節(jié)段椎板高度、厚度分別為(10.1±1.8)mm～(19.4±1.3)mm、(3.3±0.4)mm～(6.8±1.1)mm。C3～C7節(jié)段釘?shù)篱L(zhǎng)度、進(jìn)釘點(diǎn)至椎動(dòng)脈的距離、進(jìn)釘點(diǎn)至脊髓的距離分別為(27.2±3.4)mm～(30.8±3.2)mm、(29.8±4.0)mm～(32.2±3.5)mm、(5.2±1.2)mm～(7.6±1.5)mm。椎板軸線與矢狀面的夾角為(54.1°±9.8°)～(60.0°±9.9°)。C7椎板中部高度、厚度,釘?shù)篱L(zhǎng)度及進(jìn)釘點(diǎn)至椎動(dòng)脈、脊髓的距離在下頸椎中最大,依次為(19.4±1.3)mm、(6.8±1.1)mm、(30.8±3.2)mm、(32.2±3.5)mm、(7.6±1.5)mm。C3～C7節(jié)段CT圖像測(cè)量下頸椎椎板中部厚度為(4.4±0.7)mm～(8.0±1.3)mm。C3～C7節(jié)段釘?shù)篱L(zhǎng)度、進(jìn)釘點(diǎn)至椎動(dòng)脈的距離、進(jìn)釘點(diǎn)至椎動(dòng)脈的距離、進(jìn)釘點(diǎn)至脊髓的距離分別為(25.4±2.5)mm～(28.8±3.0)mm、(27.3±2.4)mm～(30.2±3.1)mm、(5.1±1.1)mm～(7.5±1.2)mm。椎板軸線與矢狀面的夾角為(55.3°±10.8°)～(60.3°±10.1°)。結(jié)論:對(duì)國(guó)人進(jìn)行下頸椎椎板螺釘固定在解剖學(xué)上具有可行性,該方法可以作為下頸椎后路固定技術(shù)的補(bǔ)充。
Abstract:
Objective:To measure the anatomical parameters of lower cervical vertebral plate,so as to explore the feasibility of screw fixation on lower cervical vertebral plate for Chinese.Methods:The anatomical parameters which related to the screw entry technique of lower cervical vertebral plate were measured in 20 adult cadaveric specimens of C3 to C7 segment by vernier caliper and conimeter.The anatomical parameters included the height of cervical vertebral plate in such region as the root of spinous process,the central region of vertebral plate and the central region of inferior articular process; the thickness of superior,median and inferior parts of vertebral plate; the length of screw path; the distance from screw entrance point to vertebral artery and spinal cord respectively,and the angle between axis and sagittal plane of vertebral plate.CT images of lower cervical vertebrae of 100 normal adults were randomly selected,and the anatomical parameters of vertebral plate of C3 to C7 in CT images were measured,including the thickness of central region of vertebral plate,the length of screw path,the distance from screw entrance point to vertebral artery and spinal cord respectively,and the angle between axis and sagittal plane of vertebral plate.Results:The height and thickness of vertebral plate of C3 to C7 segment of the 20 adult cadavers ranged from(10.1±1.8)to(19.4±1.3)mm and from(3.3±0.4)to(6.8±1.1)mm respectively.The length of screw-path of C3 to C7 segment,the distance from screw entrance point to vertebral artery and spinal cord ranged from(27.2±3.4)to(30.8±3.2)mm,from(29.8±4.0)to(32.2±3.5)mm and from(5.2±1.2)to(7.6±1.5)mm respectively.The angle between axis and sagittal plane of vertebral plate ranged from(54.1°±9.8°)to(60.0°±9.9°).The parameters of C7 vertebral plate as its central height,central thickness,screw-path length and distance from screw entrance point to vertebral artery and spinal cord were the maximum ones compared with those in the lower cervical vertebrae,and they were(19.4±1.3),(6.8±1.1),(30.8±3.2),(32.2±3.5)and(7.6±1.5)mm in order.Central thickness of vertebral plate ranged from(4.4±0.7)to(8.0±1.3)mm in CT images of C3 to C7.The parameters of C3 to C7 as its screw path length,distance from screw entrance point to vertebral artery and spinal cord were(25.4±2.5)to(28.8±3.0)mm,(27.3±2.4)to(30.2±3.1)mm,(5.1±1.1)to(7.5±1.2)mm respectively.The angle between axis and sagittal plane of vertebral plate ranged from(55.3°±10.8°)to(60.3°±10.1°).Conclusion:It is feasible to apply screw fixation on lower cervical vertebral plate for Chinese based on the anatomical parameters,and this method can be used as a supplement to the techniques of posterior lower cervical vertebra fixation.

參考文獻(xiàn)/References:

[1] Seichi A,Takeshita K,Nakajima S,et al.Revision cervical spine surgery using transarticular or pedicle screws under a computer-assisted image-guidance system[J].J Orthop Sci,2005,10(4):385-390.
[2] Muffoletto AJ,Yang J,Vadhva M,et al.Cervical stability with lateral mass plating:unicortical versus bicortical screw purchase[J].Spine(Phila Pa 1976),2003,28(8):778-781.
[3] Takayasu M,Hara M,Yamauchi K,et al.Transarticular screw fixation in the middle and lower cervical spine.Technical note[J].J Neurosurg,2003,99(1 Suppl):132-136.
[4] 張丙磊,張強(qiáng),余楓,等.樞椎椎板螺釘固定的解剖學(xué)研究[J].中國(guó)脊柱脊髓雜志,2006,16(1):45-47.
[5] 馬向陽(yáng),尹慶水,吳增暉,等.樞椎椎板螺釘固定的解剖可行性研究[J].中國(guó)脊柱脊髓雜志,2006,16(1):48-51.
[6] 胡勇,徐榮明,馬維虎,等.樞椎后路椎板螺釘固定技術(shù)的可行性研究[J].中國(guó)骨傷,2008,2l(8):581-584.
[7] Rath SA,Moszko S,Schäffner PM,et al.Accuracy of pedicle screw insertion in the cervical spine for internal fixation using frameless stereotactic guidance[J].J Neurosurg spine,2008,8(3):237-245.
[8] 曹進(jìn),徐榮明,仲肇平,等.C7后路椎板螺釘固定解剖學(xué)可行性研究[J].中國(guó)骨傷,2010,23(4):282-285.
[9] 胡勇,楊述華,楊操,等.樞椎后路三種螺釘固定技術(shù)的定量解剖[J].解剖學(xué)雜志,2007,30(1):73-76.
[10] 章慶峻,羅卓荊,李明全,等.頸椎側(cè)塊的應(yīng)用解剖及其在后路鋼板螺釘內(nèi)固定術(shù)中的意義[J].中國(guó)臨床解剖學(xué)雜志,2003,21(1):19-21.

備注/Memo

備注/Memo:
基金項(xiàng)目:浙江省寧波市科學(xué)技術(shù)局自然科學(xué)基金項(xiàng)目(2010A610061)
通訊作者:徐榮明 E-mail:[email protected]
更新日期/Last Update: 2012-12-20