| 椎动脉的解剖研究及在上颈椎椎弓根置钉中的应用 |
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投稿时间：2014-02-19
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| 作者 | Author | 单位 | Address | E-Mail |
| 武兴国 |
WU Xing-guo |
中山大学附属梅州医院骨四科, 广东 梅州 514031 |
The Fourth Department of Orthopaedics, the Affiliated Meizhou Hospital of Sun Yat-sun University, Meizhou 514031, Guangdong, China |
wxg_200312919@163.com |
| 黄健 |
HUANG Jian |
中山大学附属梅州医院骨四科, 广东 梅州 514031 |
The Fourth Department of Orthopaedics, the Affiliated Meizhou Hospital of Sun Yat-sun University, Meizhou 514031, Guangdong, China |
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| 蒋煜青 |
JIANG Yu-qing |
中山大学附属梅州医院骨四科, 广东 梅州 514031 |
The Fourth Department of Orthopaedics, the Affiliated Meizhou Hospital of Sun Yat-sun University, Meizhou 514031, Guangdong, China |
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| 郭伟康 |
GUO Wei-kang |
中山大学附属梅州医院骨四科, 广东 梅州 514031 |
The Fourth Department of Orthopaedics, the Affiliated Meizhou Hospital of Sun Yat-sun University, Meizhou 514031, Guangdong, China |
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| 王军 |
WANG Jun |
中山大学附属梅州医院骨四科, 广东 梅州 514031 |
The Fourth Department of Orthopaedics, the Affiliated Meizhou Hospital of Sun Yat-sun University, Meizhou 514031, Guangdong, China |
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| 期刊信息：《中国骨伤》2014年，第27卷，第9期，第772-774页 |
| DOI：10.3969/j.issn.1003-0034.2014.09.014 |
| 基金项目:广东省卫生厅基金课题（编号：B2012377） |
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中文摘要:
目的：测量上颈椎椎弓根与椎动脉的位置关系，提高上颈椎椎弓根螺钉置入的安全性。
方法：成人头颈部尸体标本6具（12侧），解剖椎动脉，测量寰椎椎弓根螺钉进钉点处椎动脉下缘距椎动脉沟底部的距离，枢椎横突孔内缘与椎动脉内缘的距离，横突孔内椎动脉的外径，记录数据并进行统计学处理。
结果：寰椎椎弓根螺钉进钉点处椎动脉下缘距椎动脉沟底部的距离为左侧（1.96±0.72） mm，右侧（1.99±0.61） mm，枢椎横突孔内缘与椎动脉外缘的距离为左侧（2.23±0.43） mm，右侧（2.30±0.39） mm，横突孔内椎动脉的外径为左侧（3.03±0.48） mm，右侧（2.98±0.75） mm.
结论：除了椎动脉高跨病例外，正确置入上颈椎椎弓根螺钉无损伤椎动脉之虞，椎弓根钉置入时应尽量个体化。 |
| 【关键词】椎动脉 寰椎 枢椎 内固定 解剖 |
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| Anatomical study on vertebral artety and its application in transpedicle screw fixation for upper cervical vetebrae |
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ABSTRACT
Objective: To investigate the relationship of upper cervical pedicle and vertebral artery (VA) location in order to improve the safety of transpedicular screw insertion.
Methods: The vertebral arteries on 12 sides of 6 adult pate cadaverous specimens were dissected. The distance between VA and VA groove at the atlas needling point of transpedicle screw, and the distance between VA and the inner edge of axis cervical foramen, and the VA external diameter in axis cervical foramen were measured respectively.
Results: The distance between VA and VA groove was (1.96±0.72) mm on the left and (1.99±0.61)mm on the right at the atlas needling point of transpedicle screw, the distance between VA and the inner edge of axis cervical foramen was (2.23±0.43) mm on the left and (2.30±0.39) mm on the right, the VA external diameter in axis cervical foramen was (3.03±0.48) mm on the left and(2.98±0.75) mm on the right.
Conclusion: It is unlikely to injury VA when the transpedicle screws of upper cervical vertebrae were implanted correctly besides high straddled VA, and the individualization must be performed in the process. |
| KEY WORDS Vertebral artety Atlas Axis Internal fixation Dissection |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 武兴国,黄健,蒋煜青,郭伟康,王军.椎动脉的解剖研究及在上颈椎椎弓根置钉中的应用[J].中国骨伤,2014,27(9):772~774 |
| 英文格式: | WU Xing-guo,HUANG Jian,JIANG Yu-qing,GUO Wei-kang,WANG Jun.Anatomical study on vertebral artety and its application in transpedicle screw fixation for upper cervical vetebrae[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(9):772~774 |
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