中国医药科学Issue(8)：167-169,3.
胸椎椎弓根肋骨复合体应用于脊柱侧弯椎弓根螺钉内固定矫形的影像学评价
Imaging evaluation of thoracic pedicle rib unit with pedicle screw fixation used in scoliosis orthopedic
邢文华 1霍洪军 1杨学军 1肖宇龙 1李峰 1辛大奇 1付裕 1赵岩 1祝勇1
作者信息
- 1. 内蒙古医科大学第二附属医院脊柱外科，内蒙古呼和浩特010030
- 折叠
摘要
Abstract
Objective To observe the morphological characteristics of thoracic pedicle and surrounding important structures of patients with scoliosis, and to evaluate the feasibility of pedicle rib unit with pedicle screw fixation used in scoliosis orthopedic. Methods 11 cases of scoliosis patients were preoperatively examined vertebral of orthopedic internal fixation by CT. The anatomic position and morphology of pedicle, pedicle rib unit, and the spinal cord were observed. In the navigation, the patients were treated with posterior pedicle screw internal fixation and bone grafting fusion. After the operation, the same segment was again performed CT scanning, and screw implant position was evaluated. Results The convex side of pedicle transverse diameter concave side was thin, of which the thinnest was 1.2mm. The convex side of pedicle was arc change, and the vertebral body was deviated from the concave side. The concave side of spinal was close to pedicle, and The convex side is deviated from the spinal pedicle. There were 25 (19.8%) screws completely partial out of pedicle in 126 pedicle screws, those were fixed with pedicle rib unit, but after the operation there were no neurovascular injury, and all cases maintained stable internal fixation. Conclusion Computer-assisted navigation with pedicle screw implantation used in scoliosis can improve the accuracy of screw placement. In severe deformity, screw can be body fixed by pedicle rib unit.关键词
脊柱侧弯/计算机辅助导航/椎弓根螺钉/椎弓根-肋骨复合体Key words
Scoliosis/Computer-assisted navigation/Pedicle screw/Pedicle rib unit分类
医药卫生引用本文复制引用
邢文华,霍洪军,杨学军,肖宇龙,李峰,辛大奇,付裕,赵岩,祝勇..胸椎椎弓根肋骨复合体应用于脊柱侧弯椎弓根螺钉内固定矫形的影像学评价[J].中国医药科学,2015,(8):167-169,3.
