中国骨伤2013，Vol.26Issue(6)：497-501,5.DOI:10.3969/j.issn.1003-0034.2013.06.013
脊柱颈胸段前路内固定手术相关的影像学测量及其临床意义
Imaging measurement of anterior internal fixation for the cervicothoracic junction and its clinical significance
摘要
Abstract
Objective:To measure important parameters of anterior internal fixation for the cervicothoracic junction by using imaging measurement,and provide reference for cervicothoracic junction surgery and design of steel plate screw internal fixation.Methods:From June to November 2012,120 health people's median sagittal plane M RI of cervical spine were randomly collected.Of the 120 cases,there were 58 males and 62 females with an average age of 48.3± 13.7,ranging the age of 20 to 78 years old.The anterior,middle and posterior height of vertebral,anterior,upper,medium and lower sagittal diameter,anterior height of different segments and Cobb angle were measured by measuring machine in the PACS system.Results:The anterior,middle and posterior height of vertebral,medium and lower sagittal diameter gradually increased from cranial to caudal of cervicothoracic junction (P＜0.01).For single vertebral,posterior＞ anterior＞middle height (P＜0.01),lower ＞ upper＞medium sagittal diameter (P＜0.01).The lower sagittal diameter of upper vertebral body was close to upper sagittal diameter of lower vertebral body.Cobb angle of male was (7.61 ±3.85)°,while female's was (5.58±2.59)°.Conclusion:During the anterior internal fixation of cervicothoracic junction,it is suggested that the entry points of upper vertebral body should locate on the lower and middle 1/3 of vertebral body,and screws could slightly incline towards cranial,the entry points of lower vertebral body should locate on the upper and middle 1/3 of vertebral body,while screws could slightly incline towards caudal,also can be prebent according to Cobb angle of health.关键词
脊柱/骨折固定术,内/外科手术Key words
Spine/ Fracture fixation,internal/ Surgical procedure,operative引用本文复制引用
黄义星,王胜,滕毓静..脊柱颈胸段前路内固定手术相关的影像学测量及其临床意义[J].中国骨伤,2013,26(6):497-501,5.基金项目
国家自然科学青年基金项目(编号:81101395) （编号:81101395）
浙江省医药卫生科技计划项目(编号:2011KYA110)Fund program:National Natural Science Youth Foundation (No.81101395) （编号:2011KYA110）
