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胸腰椎棘突上缘根部与椎弓根关系的解剖学研究及意义
Hits: 2267   Download times: 1217   Received:April 03, 2003    
作者Author单位UnitE-Mail
崔新刚 CUI Xin-gang 济南军区总医院骨创科, 山东济南250001 Department of Orthopaedic Surgery,Jinan Military General Hospital Songlianxion@yahoo.com.cn 
丁自海 DING Zi-hai 济南军区总医院骨创科, 山东济南250001 Department of Orthopaedic Surgery,Jinan Military General Hospital  
蔡锦方 CAI Jin-fang 济南军区总医院骨创科, 山东济南250001 Department of Orthopaedic Surgery,Jinan Military General Hospital  
期刊信息:《中国骨伤》2004年17卷,第5期,第274-276页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz


目的:研究胸腰椎棘突与椎弓根的解剖关系,提供相关数据为椎弓根穿钉确定一种新的解剖定位点。

方法:测量30具干燥胸腰椎骨标本(T10-L5节段)之棘突上缘根部至椎弓根上缘、下缘及中轴线的距离。用5具新鲜尸体做实验室手术模拟。

结果:获得了相关解剖学数据,根据所得数据设计螺钉入点。实验室80个螺钉全部穿钉成功,并成功临床应用6例。

结论:该研究揭示了棘突与椎弓根的解剖关系,为经椎弓根手术提供了一种新的解剖学定位方式。
[关键词]:胸椎  腰椎  解剖学
 
Anatomical study and clinical significance of relation between the superior margin of spinous processes root and vertebral pedicle in thoracic and lumbar spine
Abstract:

Objective:To study the anatomical relationship between the superior margin of spinous processes root and vertebral pedicle in thoracic and lumbar spine,to provide related data and to define a new anatomical landmarks for placement of screw into the pedicle.

Methods:Thirty dry thoracic and lumbar(T 10-L 5)specimens were obtained for study.The distance from superior margin of spinous processes root to superior,inferior margin and axis of vertebral pedicle were measured.In laboratory five fresh cadavers were used to imitate operation.

Results:Obtained the related anatomical data and a screw projection point were defined based on the above data.In laboratory,eighty screws were all insered into pedicles successfully and six cases were used successfully in clinic.

Conclusion:This study give the anatomical relationship between spinous processes and vertebral pedicle,and provided a new anatomic location for transpedicular operation.
KEYWORDS:Thoracic vertebrea  Lumbar vertebrae  Anatomy
 
引用本文,请按以下格式著录参考文献:
中文格式:崔新刚,丁自海,蔡锦方.胸腰椎棘突上缘根部与椎弓根关系的解剖学研究及意义[J].中国骨伤,2004,17(5):274~276
英文格式:CUI Xin-gang,DING Zi-hai,CAI Jin-fang.Anatomical study and clinical significance of relation between the superior margin of spinous processes root and vertebral pedicle in thoracic and lumbar spine[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(5):274~276
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