必须声明标量变量 "@Script_ID"。 基于国人颈椎CT数据测量设计寰枢椎椎间融合器的研究-《赣南医学院学报》

[1]肖 衡,罗明薇,谢世伟.基于国人颈椎CT数据测量设计寰枢椎椎间融合器的研究[J].赣南医学院学报,2020,40(06):545-548.[doi:10.3969/j.issn.1001-5779.2020.06.002]
 XIAO Heng,LUO Ming-wei,XIE Shi-wei.Design an atlantoaxial lateral mass fusion cage based on CT measurement[J].,2020,40(06):545-548.[doi:10.3969/j.issn.1001-5779.2020.06.002]
点击复制

基于国人颈椎CT数据测量设计寰枢椎椎间融合器的研究()
分享到:

《赣南医学院学报》[ISSN:1001-5779/CN:36-1154/R]

卷:
40
期数:
2020年06期
页码:
545-548
栏目:
临床研究
出版日期:
2020-07-22

文章信息/Info

Title:
Design an atlantoaxial lateral mass fusion cage based on CT measurement
文章编号:
1001-5779(2020)06-0545-04
作者:
肖 衡罗明薇谢世伟
攀枝花市中心医院,四川 攀枝花 617067
Author(s):
XIAO Heng LUO Ming-wei XIE Shi-wei
Panzhihua Central Hospital, Panzhihua, Sichuan 617067
关键词:
寰椎 枢椎 侧块融合器
Keywords:
Atlas Epistropheus Lateral mass fusion cage
分类号:
R687.1
DOI:
10.3969/j.issn.1001-5779.2020.06.002
文献标志码:
A
摘要:
目的:利用CT测量颈椎相关参数,探讨设计单纯前路寰枢椎椎间融合器的可能性及思路。方法:随机选取2017年3月到2019年2月我院收治的颈椎病患者60例,排除发育畸形患者,其中男27例,女33例,所有患者术前常规进行颈椎CT平扫和三维重建,在PACS系统上测量颈椎CT参数。分别测量寰枢椎横断面、矢状面、冠状面等相关参数并行统计学分析。结果:60例患者中,男(54.86±12.26)岁,女(56.60±7.43)岁,寰椎侧块最大径线男左侧为(18.82±2.22)mm、右侧为(18.86±0.89)mm,女左侧为(18.72±2.18)mm、右侧为(19.32±1.36)mm; 其中,最大径线与矢状位所形成的夹角男左边为(33.66±5.16)°、右边为(37.53±4.79)°,女左边为(37.20±4.49)°、右边为(38.40±3.50)°; 冠状位上,枢椎侧块横径男女左右相当,男左边为(15.86±1.46)mm、右边为(16.22±1.09)mm,女左边为(17.05±1.63)mm、右边为(16.48±1.74)mm,男女之间差异无统计学意义(P>0.05)。寰枢椎冠状位及矢状位上侧块间隙高度则呈现内外低,中间相对较高的趋势,男女之间差异无统计学意义(P>0.05)。结论:寰枢椎侧块间隙数据相对恒定,有足够空间来容纳椎间融合器。基于寰枢椎侧块的影像学测量,可设计一体化钢板螺钉椎间融合器,为单纯前路固定融合寰枢椎提供一种新思路。
Abstract:
Objective: To measure the relevant parameters of atlantoaxial lateral mass in CT imaging. Discuss the possibility and design an anterior plate for an atlantoaxial lateral mass fusion cage. Methods: A total of 60 patients from March 2017 to February 2019 who were enrolled but excluded the people who developmental malformation, including 27 males and 33 females. All patients accepted routine CT scan and 3D reconstruction preoperative. Various cervical spine parameters of CT were measured in the PACS system. Evaluated sagittal plane, coronal plane and transverse section relevant parameters and did statistical analysis. Results: The 60 patients's age of men were(54.86±12.26)years old(mean±standard deviation),and the women were(56.60±7.43)years old,the longest diameter line of ateral mass of atlas for men of left side was(18.72±2.18)mm and the right side was(19.32±1.36)mm, on the other hand, the women was(18.72±2.18)mm,(19.32±1.36)mm, in addition, the angle of the longest diameter line in sagittal plane were(33.66±5.16)°,(37.53±4.79)° for men, the women's were(37.20±4.49)° and(38.40±3.50)°. On coronal plane, the transverse diameter for axoidean lateral mass were nearly between men and women, left of the patient was(15.86±1.46)mm and(17.05±1.63)mm,the right was(16.22±1.09)mm and(16.48±1.74)mm(P>0.05). The height of the lateral mass between atlas and axis was low at inside and outside, but high in the middle slightly. There was no statistical difference between men and women or left and right(P>0.05). Conclusions: The relevant parameters of C1-C2 are relatively constant and have enough space to contain the atlantoaxial lateral mass fusion cage. Based on CT measurement of atlantoaxial lateral mass parameters, which can provide the evidence of further study for internal fixation instrument, to provide new ideas of surgery.

参考文献/References:

[1] ZHU CHANGRONG, WANG JIANHUA, WU ZENGHUI, et al. Management of pediatric patients with irreducible atlantoaxial dislocation: transoral anterior release, reduction, and fixation[J]. J Neurosurg Pediatr, 2019, 1: 1-7.
[2] HOTA DAYANAND, KUMAR MAHESH, KAVITHA M, et al. Compressive Myelopathy Secondary to Atlantoaxial Dislocation in a Child with Congenital Hypothyroidism: A Case Report[J]. J Pediatr Neurosci, 2018, 13: 198-200.
[3] 赵兴华,夏之远,菅凤增,等.适用于BI-AAD患者的寰枢椎侧块关节融合器的研究与设计[J].中华神经外科疾病研究杂志,2017,16(6):485-489.
[4] CUNNINGHAM BRYAN W, MUELLER KYLE B, MULLINIX KENNETH P, et al. Biomechanical analysis of occipitocervical stabilization techniques: emphasis on integrity of osseous structures at the occipital implantation sites[J]. J Neurosurg Spine, 2020, 4: 1-10.
[5] 吕锋.螺旋CT三维重建颈椎椎体形态结构测量数据分析[J].山东医药,2014,54(37):69-71.
[6] ALICIOGLU BANU,GULEKON NADIR. The Vertebral Artery Convergence to the Cervical Spine in Elders[J]. Folia Med(Plovdiv), 2019, 61: 377-383.
[7] 陈晓陇,李建新,吴武,等.上颈椎临床解剖学影像数据的一体化研究[J].生物骨科材料与临床研究,2016,13(3):1-6.
[8] BATTLEDAY F M, WILLIAMS M, RANKINE J, et al. MRI versus CT: a retrospective investigation of the feasibility and agreeability in post-operative evaluation of screw position after posterior lumbar interbody fusion[J]. Eur Spine J, 2020, 5: 1-6.

备注/Memo

备注/Memo:
作者简介:肖衡,男,硕士,副主任医师,研究方向:脊柱外科。E-mail:544659091@qq.com
通信作者:谢世伟,男,硕士,住院医师,研究方向:脊柱退行性改变。E-mail:xsw0206@126.com
更新日期/Last Update: 2020-07-30