- · 《影像研究与医学应用》[05/29]
- · 《影像研究与医学应用》[05/29]
- · 《影像研究与医学应用》[05/29]
- · 《影像研究与医学应用》[05/29]
- · 《影像研究与医学应用》[05/29]
测量成人寰枢椎后方部分结构数据设计寰枢椎板(5)
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摘要:[19]WEI G, WANG Z, AI F, et of basilar invagination with klippel-feil syndrome:atlantoaxial joint distraction and fixation with transoral atlantoaxial reduction ;78:492-498. [20]YIN Q, AI F, ZHANG K,
[19]WEI G, WANG Z, AI F, et of basilar invagination with klippel-feil syndrome:atlantoaxial joint distraction and fixation with transoral atlantoaxial reduction ;78:492-498.
[20]YIN Q, AI F, ZHANG K, et anterior atlantoaxial dislocation:one-stage treatment with a transoral atlantoaxial reduction plate fixation and of 5 cases and review of the (Phila Pa 1976).2005;30:E375-E381.
[21]Yin QS, Li XS, Bai ZH, et al.An 11-Year Review of the TARP Procedure in the Treatment of Atlantoaxial (Phila Pa 1976).2016;41:E1151-E1158.
[22]XIA H, YIN Q, AI F, et of basilar invagination with atlantoaxial dislocation:atlantoaxial joint distraction and fixation with transoral atlantoaxial reduction plate (TARP) without Spine J.2014;23:1648-1655.
[23]GOEL A, KULKARNI AQ, SHARMA of fixed atlantoaxial dislocation in 24 cases:technical note.J Neurosurg ;2(4):505-509.
[24]李胜华,汪康,夏良政,等.后路寰枢椎侧块关节融合器置入的临床应用解剖[J].中国骨与关节损伤杂志,2012,27(5):385-388.
[25]MATSUMOTO M, CHIBA K, TSUJI T, et al.Use of a titanium mesh cage for posterior atlantoaxial note.J ;96(1 Suppl):127-130.
[26]CHUN HJ, OH SH, YI HJ, et and durability of the titanium mesh cage spacer combined with transarticular screw fixation for atlantoaxial instability in rheumatoid arthritis (Phila Pa 1976).2009;34(22):2384-2388.
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[28]王宾宾,马向阳,段明阳,等.成人寰椎后弓部分结构测量及意义[J].中国临床解剖学杂志,2017,35(6):610-614.
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背景:寰枢椎融合器一直以侧块关节融合器为研究热点,但其置入操作风险过大,目前临床上一直缺乏可广泛应用的寰枢椎融合器。
目的:探究成人后路寰枢椎板间融合器的CT 影像解剖学可行性并给出初步设计。
方法:对100 例成人(男50 例,女50 例)寰枢椎CT 三维成像进行测量,测量指标包括寰椎单侧后弓长度、寰椎后弓厚度、枢椎单侧椎板长度、枢椎椎板厚度、寰椎后弓上缘至枢椎椎板下缘距离,分析寰枢椎后方部分结构的CT 测量数据并设计寰枢椎板间融合器。
结果与结论:①男、女性的寰椎单侧后弓长度分别为(23.) mm 和(22.) mm,寰椎后弓厚度分别为(6.) mm 和(5.) mm,枢椎单侧椎板长度分别为(18. )mm 和(17.) mm,枢椎椎板厚度分别为(5.) mm 和(4.) mm,寰椎后弓上缘至枢椎椎板下缘距离分别为(32.) mm 和(31.) mm;②不同性别的双侧测量数据差异无显著性意义(P> 0.05);男性的寰椎单侧后弓长度、寰椎后弓厚度、枢椎单侧椎板长度大于女性,差异有显著性意义(P< 0.05);男性与女性的枢椎椎板厚度、椎后弓上缘至枢椎椎板下缘距离差异无显著性意义(P> 0.05);③寰枢椎后方部分结构的CT 测量结果提示寰枢椎板间融合器是可行的;④寰枢椎板间融合器初步设计成功,并获得国家专利;⑤提示寰枢椎板间融合器具有应用可行性,可用于寰枢椎后路钉棒固定融合过程中,提升寰枢椎间的植骨融合率。
BACKGROUND:Atlantoaxial lateral mass joint fusion cage has always been a focus of research, but its implant operation is too risky.At present, there is no widely used atlantoaxial fusion cage.
OBJECTIVE:To investigate the anatomical feasibility of CT image and preliminary design of posterior atlantoaxial interlaminar fusion cage in adults.
METHODS:Measurement of atlantoaxial three-dimensional CT of 100 adult cases (50 males and 50 females) was performed, including C1unilateral posterior arch length, C1posterior arch width, C2unilateral lamin length, C2lamina thickness and the distance of C1posterior arch higher edge to C2lamin lower edge.CT measurement data of posterior part of atlantoaxial structure were analyzed, and atlantoaxial interlaminar fusion cage was designed.
RESULTS AND CONCLUSION:(1) The C1unilateral posterior arch length of man and woman was (23.) mm and (22.) mm respectively, and the C1 posterior arch width was (6.) mm and (5.) mm respectively, and the C2unilateral lamin length was (18.) mm and (17.) mm respectively, and the C2lamina thickness was (5.) mm and (4.) mm, distance of C1posterior arch higher edge to C2lamin lower edge was (32.) mm and (31.) mm, respectively.(2) There were no statistically significant differences in the bilateral measurement data of different genders (P> 0.05).The C1unilateral posterior arch length, C1posterior arch width and C2unilateral lamin length in men were larger than those in women, and the differences were statistically significant (P< 0.05).There were no statistically significant differences in the C2lamina thickness and the distance of C1posterior arch higher edge to C2lamin lower edge of different genders (P> 0.05).(3) CT measurement data suggested that atlantoaxial interlaminar fusion cage is feasible.(4) Preliminary design of atlantoaxial interlaminar fusion cage was successful, and obtained the national patent.(5) It is suggested that atlantoaxial interlaminar fusion cage has application feasibility and can be used in posterior atlantoaxial screw-rod fixation and fusion to improve the fusion rate of bone graft.
文章来源:《影像研究与医学应用》 网址: http://www.yxyjyyxyy.cn/qikandaodu/2021/0223/703.html