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[1]鐘熙強,何少奇,董伊隆,等.上胸椎后路椎板螺釘固定的可行性研究[J].中醫(yī)正骨,2016,28(01):1-5.
　ZHONG Xiqiang,HE Shaoqi,DONG Yilong,et al.A feasibility study of upper thoracic vertebral plate screw fixation through posterior approach[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(01):1-5.
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上胸椎后路椎板螺釘固定的可行性研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年01期
頁碼:
1-5
欄目:
基礎(chǔ)研究
出版日期:
2016-01-20

文章信息/Info

Title:
A feasibility study of upper thoracic vertebral plate screw fixation through posterior approach
作者:
鐘熙強; 何少奇; 董伊隆; 劉良樂; 黃益獎; 戴鳴海; 湯呈宣
溫州醫(yī)科大學(xué)附屬第三醫(yī)院,浙江 瑞安 325200
Author(s):
ZHONG Xiqiang; HE Shaoqi; DONG Yilong; LIU Liangle; HUANG Yijiang; DAI Minghai; TANG Chengxuan
The Third Affiliated Hospital of Wenzhou Medical University,Rui'an 325200,Zhejiang,China
關(guān)鍵詞:
胸椎;  椎板;  內(nèi)固定器;  解剖學(xué);  可行性研究
Keywords:
thoracic vertebrae;  vertebral plate;  internal fixators;  anatomy;  feasibility studies
摘要:
目的:了解國人上胸椎椎板的解剖學(xué)參數(shù),探討對國人進行上胸椎后路椎板螺釘固定的可行性。方法:選擇40具國人成人尸體T1～T4標本,用游標卡尺和量角器測量與上胸椎椎板螺釘進釘技術(shù)相關(guān)的解剖參數(shù),包括椎板上、中、下部分的厚度和椎板高度、椎板釘?shù)篱L度、椎板軸線與矢狀面的夾角。結(jié)果:20具成人女性尸體T4椎板中部分厚度、T1～T4椎板軸線與矢狀面軸線的夾角與男性比較,差異均無統(tǒng)計學(xué)意義[(5.94±0.13)mm,(6.00±0.22)mm,t=1.609,P=0.112; 46.00°±1.10°,46.50°±1.10°,t=1.955,P=0.054; 46.30°±0.80°,46.60°±1.10°,t=1.383,P=0.171; 45.40°±1.40°,45.30°±1.40°,t=0.404,P=0.688; 45.20°±1.40°,45.30°±1.40°,t=0.410,P=0.683]。成人女性尸體T1～T3椎板中部分厚度小于男性[(5.86±0.10)mm,(5.93±0.18)mm,t=2.083,P=0.040;(5.88±0.11)mm,(5.97±0.20)mm,t=2.581,P=0.012;(5.90±0.09)mm,(6.00±0.19)mm,t=2.885,P=0.006]; T1～T4椎板上部分厚度、椎板下部分厚度、椎板高度、椎板釘?shù)篱L度均小于男性[椎板上部分厚度:(5.39±0.12)mm,(5.51±0.13)mm,t=4.202,P=0.000;(5.43±0.09)mm,(5.52±0.11)mm,t=4.184,P=0.000;(5.43±0.10)mm,(5.53±0.10)mm,t=4.279,P=0.000;(5.41±0.08)mm,(5.53±0.07)mm,t=7.557,P=0.000; 椎板下部分厚度:(5.43±0.12)mm,(5.55±0.12)mm,t=4.513,P=0.000;(5.43±0.07)mm,(5.57±0.10)mm,t=7.068,P=0.000;(5.44±0.08)mm,(5.57±0.11)mm,t=6.182,P=0.000;(5.44±0.07)mm,(5.58±0.09)mm,t=7.353,P=0.000; 椎板高度:(16.86±0.50)mm,(18.64±0.71)mm,t=13.028,P=0.000;(16.89±0.62)mm,(19.22±0.76)mm,t=15.150,P=0.000;(17.22±0.52)mm,(20.09±0.92)mm,t=17.179,P=0.000;(17.45±0.59)mm,(21.10±0.95)mm,t=14.976,P=0.000; 椎板釘?shù)篱L度:(29.23±1.24)mm,(31.43±2.01)mm,t=5.898,P=0.000;(29.77±1.48)mm,(31.29±2.44)mm,t=3.358,P=0.000;(29.58±1.50)mm,(30.68±2.25)mm,t=2.590,P=0.000;(29.94±1.48)mm,(30.69±2.05)mm,t=1.873,P=0.000]。結(jié)論:對國人進行上胸椎后路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)的補充。
Abstract:
Objective:To study the anatomical parameters of upper thoracic vertebral plate of Chinese adults and explore the feasibility of upper thoracic vertebral plate screw fixation through posterior approach in Chinese adults.Methods:The cadaveric T1-4 specimens of 40 Chinese adults were selected and the anatomical parameters that related to the upper thoracic vertebral plate screw fixation technique were measured by using vernier caliper and conimeter.The anatomical parameters included the thickness of upper,middle and lower part of vertebral plate,the height of vertebral plate,the screw path length and the included angle between vertebral plate axis and sagittal plane.Results:There was no statistical difference in the thickness of the middle part of T4 vertebral plate and the included angle between T1-4 vertebral plate axis and sagittal plane axis between 20 females and 20 males(5.94+/-0.13 vs 6.00+/-0.22 mm,t=1.609,P=0.112; 46.00+/-1.10 vs 46.50+/-1.10 degrees,t=1.955,P=0.054; 46.30+/-0.80 vs 46.60+/-1.10 degrees,t=1.383,P=0.171; 45.40+/-1.40 vs 45.30+/-1.40 degrees,t=0.404,P=0.688; 45.20+/-1.40 vs 45.30+/-1.40 degrees,t=0.410,P=0.683).The thickness of the middle part of T1-3 vertebral plate were less in adult female cadavers compared to adult male cadavers(5.86+/-0.10 vs 5.93+/-0.18 mm,t=2.083,P=0.040; 5.88+/-0.11 vs 5.97+/-0.20 mm,t=2.581,P=0.012; 5.90+/-0.09 vs 6.00+/-0.19 mm,t=2.885,P=0.006).Such parameters of T1-4 were less in adult female cadavers compared to adult female cadavers as thickness of upper part of vertebral plate(5.39+/-0.12 vs 5.51+/-0.13 mm,t=4.202,P=0.000; 5.43+/-0.09 vs 5.52+/-0.11 mm,t=4.184,P=0.000; 5.43+/-0.10 vs 5.53+/-0.10 mm,t=4.279,P=0.000; 5.41+/-0.08 vs 5.53+/-0.07 mm,t=7.557,P= 0.000),thickness of lower part of vertebral plate(5.43+/-0.12 vs 5.55+/-0.12 mm,t=4.513,P=0.000; 5.43+/-0.07 vs 5.57+/-0.10 mm,t=7.068,P=0.000; 5.44+/-0.08 vs 5.57+/-0.11 mm,t=6.182,P=0.000; 5.44+/-0.07 vs 5.58+/-0.09 mm,t=7.353,P=0.000),height of vertebral plate(16.86+/-0.50 vs 18.64+/-0.71 mm,t=13.028,P=0.000; 16.89+/-0.62 vs 19.22+/-0.76 mm,t=15.150,P=0.000; 17.22+/-0.52 vs 20.09+/-0.92 mm,t=17.179,P=0.000; 17.45+/-0.59 vs 21.10+/-0.95 mm,t=14.976,P=0.000)and screw path length(29.23+/-1.24 vs 31.43+/-2.01 mm,t=5.898,P=0.000; 29.77+/-1.48 vs 31.29+/-2.44 mm,t=3.358,P=0.000; 29.58+/-1.50 vs 30.68+/-2.25 mm,t=2.590,P=0.000; 29.94+/-1.48 vs 30.69+/-2.05 mm,t=1.873,P=0.000).Conclusion:It is feasible to conduct the upper thoracic vertebral plate screw fixation in Chinese adults through posterior approach in the view of anatomy,so this method can be used as a complement to the lower cervical vertebra fixation technique through posterior approach.

參考文獻/References:

[1] Zhuang Z,Chen Y,Han H,et al.Thoracic pedicle morphometry in different body height population:a three-dimensional study using reformatted computed tomography[J].Spine(Phila Pa 1976),2011,36(24):E1547-E1554.
[2] Patel AJ,Cherian J,Fulkerson DH,et al.Computed tomography morphometric analysis for translaminar screw fixation in the upper thoracic spine of the pediatric population[J].J Neurosurg Pediatr,2011,7(4):383-388.
[3] Ma XY,Yin QS,Wu ZH,et al.C2 anatomy and dimensions relative to translaminar screw placement in an Asian population[J].Spine(Phila Pa 1976),2010,35(6):704-708.
[4] 曹進,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].中國骨傷,2010,23(4):282-285.
[5] 林華杰,李啟運,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.
[6] Wang MY.C2 crossing laminar screws:cadaveric morphometric analysis[J].Neurosurgery,2006,59(1 Suppl 1):84-88.
[7] Wright NM.Posterior C2 fixation using bilateral,crossing C2 laminar screws:case series and technical note[J].J Spinal Disord Tech,2004,17(2):158-162.
[8] Mclain RF,Ferrara L,Kabins M.Pedicle morphometry in the upper thoracic spine:limits to safe screw placement in older patients[J].Spine(Phila Pa 1976),2002,27(22):2467-2471.
[9] Chung KJ,Suh SW,Desai S,et al.Ideal entry point for the thoracic pedicle screw during the free hand technique[J].Int Orthop,2008,32(5):657-662.
[10] Ebraheim NA,Xu R,Ahmad M,et al.Projection of the thoracic pedicle and its morphometric analysis[J].Spine(Phila Pa 1976),1997,22(3):233-238.
[11] Belmont PJ,Klemme WR,Dhawan A,et al.In vivo accuracy of thoracic pedicle screws[J].Spine(Phila Pa 1976),2001,26(21):2340-2346.
[12] Gardner A,Millner P,Liddington M,et al.Translaminar screw fixation of a kyphosis of the cervical and thoracic spine in neurofibromatosis[J].J Bone Joint Surg Br,2009,91(9):1252-1255.
[13] Kretzer RM,Sciubba DM,Bagley CA,et al.Translaminar screw fixation in the upper thoracic spine[J].J Neurosurg Spine,2006,5(6):527-533.
[14] Wright NM.Translaminar rigid screw fixation of the axis. Technical note[J].J Neurosurg Spine,2005,3(5):409-414.
[15] Grob D,Humke T.Translaminar screw fixation in the lumbar spine:technique,indications,results[J].Eur Spine J,1998,7(3):178-186.
[16] Lehman RA,Dmitriev AE,Helgeson MD,et al.Salvage of C2 pedicle and pars screws using the intralaminar technique:a biomechanical analysis[J].Spine(Phila Pa 1976),2008,33(9):960-965.
[17] Aepli M,Mannion AF,Grob D.Translaminar screw fixation of the lumbar spine:long-term outcome[J].Spine(Phila Pa 1976),2009,34(14):1492-1498.
[18] Magerl FP.Stabilization of the lower thoracic and lumbar spine with external skeletal fixation[J].Clin Orthop Relat Res,1984(189):125-141.
[19] Yusof MI,Shamsi SS.Translaminar screw fixation of the cervical spine in Asian population:feasibility and safety consideration based on computerized tomographic measurements[J].Surg Radiol Anat,2012,34(3):203-207.

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備注/Memo

備注/Memo:
基金項目:浙江省瑞安市科學(xué)技術(shù)局社會發(fā)展科學(xué)研究項目(201102051)
更新日期/Last Update: 2016-02-29