枢椎后路椎板螺钉固定技术的可行性研究
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胡勇 HU Yong 宁波市第六医院脊柱外科,浙江 宁波 315040 Department of Orthopaedics,Ningbo NO.6 Hospital,Ningbo 315040,Zhejiang,China  
徐荣明 XU Rong-ming 宁波市第六医院脊柱外科,浙江 宁波 315040 Department of Orthopaedics,Ningbo NO.6 Hospital,Ningbo 315040,Zhejiang,China  
马维虎 MA Wei-hu 宁波市第六医院脊柱外科,浙江 宁波 315040 Department of Orthopaedics,Ningbo NO.6 Hospital,Ningbo 315040,Zhejiang,China  
阮永平 RUAN Yong-ping 宁波市第六医院脊柱外科,浙江 宁波 315040 Department of Orthopaedics,Ningbo NO.6 Hospital,Ningbo 315040,Zhejiang,China  
冯建翔 FENG Jian-xiang 宁波市第六医院脊柱外科,浙江 宁波 315040 Department of Orthopaedics,Ningbo NO.6 Hospital,Ningbo 315040,Zhejiang,China  
谢辉 XIE Hui 宁波市第六医院脊柱外科,浙江 宁波 315040 Department of Orthopaedics,Ningbo NO.6 Hospital,Ningbo 315040,Zhejiang,China  
林荣 LIN Rong 宁波大学医学院解剖教研室  
期刊信息:《中国骨伤》2008年,第21卷,第8期,第581-584页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:观察和测量国人枢椎椎板以获取形态学参数,探讨枢椎后路椎板螺钉固定的可行性及进针技术。

方法:用电子游标卡尺、量角器测量28套正常成年人枢椎新鲜标本的相关参数,包括上位和下位椎板螺钉进针点距椎板上缘距离、枢椎椎板上、中、下部的厚度,枢椎椎板高度、上位和下位椎板螺钉的长度和进针角度、进针点至椎动脉孔及下关节突中心点距离等14项指标。并对测得的数据进行统计学分析。

结果:上位和下位椎板螺钉进针点距椎板上缘距离分别为4 mm和8 mm,枢椎椎板上、中、下部的厚度分别为3.2 、6.7 、5.5 mm,椎板高度为12.8 mm,上位和下位椎板螺钉的长度分别为26.2 mm和25.5 mm.

结论:枢椎后路椎板螺钉固定技术在国人解剖学上具有可行性,枢椎椎板螺钉固定可作为枢椎后路固定技术的补充。
【关键词】枢椎  骨折固定术,内  解剖学
 
The feasibility study of posterior laminar screw fixation techniques in axis
ABSTRACT  

Objective: Observation and measurement were done on axial laminar to get the parameters of morphology in Chinese. To evaluate the possibility of the placement of axial laminar screw.

Methods: The relative parameters of 28 sets of fresh Chinese adults' axial specimens were measured with a digital caliper,a goniometer and imageology,including the distance from superior and inferior the anchor point of the axial laminar screw to superior margin of the axial laminar,the superior,middle and inferior thickness of axial laminar,the height of axial laminar,the length and the angle of the axial laminar screw trajectory,the distance from the anchor point of the axial laminar screw to hole of vertebral artery and the central point of inferior articular process and so on. The data were statistically analyzed.

Results: The distance from superior and inferior the anchor point of the axial laminar screw to superior margin of the axial laminar was 4 mm and 8 mm respectively. The superior,middle and inferior thickness of axial laminar was 3.2,6.7,5.5 mm respectively. The height of axial laminar was 12.8 mm. The superior and inferior length of axial laminar screw trajectory was 26.2 mm and 25.5 mm respectively.

Conclusion: It is feasible and reliable for posterior laminar screw fixation techniques of axis in Chinese. C2 laminar screw fixation techniques could be used as a supplementary method for conventional posterior screw fixation techniques of C2.
KEY WORDS  Axis  Fracture fixation,internal  Anatomy
 
引用本文,请按以下格式著录参考文献:
中文格式:胡勇,徐荣明,马维虎,阮永平,冯建翔,谢辉,林荣.枢椎后路椎板螺钉固定技术的可行性研究[J].中国骨伤,2008,21(8):581~584
英文格式:HU Yong,XU Rong-ming,MA Wei-hu,RUAN Yong-ping,FENG Jian-xiang,XIE Hui,LIN Rong.The feasibility study of posterior laminar screw fixation techniques in axis[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(8):581~584
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