腰椎椎弓根螺钉内固定的骨性解剖学分析

腰椎椎弓根螺钉内固定的骨性解剖学分析

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时间:2019-02-28

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1、AbstractRecentdecades,satisfactoryresultshavebeenachievedforlumbarfractureandlumbarspondylisthesiswithposteriorpedicleinternalfixationinstrument.However,thereportedcomplicationsoftheinstrumentationshouldbeappealledtoouremphases,whichassociatedwithoperativeprocedure.Theessentialprocedureistoensureth

2、epediclescrewplatinginthepedicleofvertebraeaccurately.Asaresult,wemakesomereseachintheanatomicfeatureoflumbarvertebraearchinordertofindsomewayincreasingthesuccessrateofplatingpediclescrew.1.TheanatomicstudyinthepedicleofvertebraearchUsing30adultsdrylumbarspecimens,measurethedateofPW(pediclewidth),P

3、A(pedicleangle),SSA(sagitalscrewangle),thequantitativerelationshipbetweenthelateralmarginofthesuperiorfacetandthepediclecenteroflumbarvertebrae,thequantitativerelationshipbetweenthecenterofthepedicleandaxisofthetransverseprocess.Result:PW:LI:7.211.8mm,L2:8.6士1.4mm,L3:10.411.9mm,L4:11.712.lmm,L5:15.

4、2土2.8mm,andtheminimumPWofLI:3.9mm,themaximumPWofL5:16.6mm.PA:LI:7.211.10,L2:8.7士2.30,L3:13.211.60,L4:17.1土2.80,L5:23.4士3.10.SSA:L1:100.38士4.760,L2:106.13士6.340,L3:109.22士7.390,L4:114.15士8.460,L5:120.06士6.230.Asacommonrule,mostlythecenteroflumbarvertebraeisinsidethemarginofthesuperiorfacetinLl-L3,an

5、dthecenteroflumbarvertebraeisjustintheplaceofthemarginofthesuperiorfacetinL4frequently,thecenteroflumbarvertebraeislateraltothemarginofthesuperiorfacetmostly;theaxisofthetransverseprocessisinferiortothecenterofpedicleinLl-L3aswell,morethananhalfoftheaxisofthetransverseprocessisintheplaceofthecenter

6、ofpedicleinL4,manyofaxisofthetransverseprocessissuperiortothecenterofpedicleinL5.Measurethedirectionofspinousprocessandtheangleofspinousprocess,wefindthemostofdirectionofspinousprocessistoright,therangeofangleisfrom00to110.Sowebelievethewaytoplatethepediclescrewbyanatomicfeatureisnotideal.2.Estimat

7、ethemethodtoplatethepediclescrewonthebassofthedigitaldataofthetransversescrewangle.sagittalscrewangle.thedistancebetweentwopointwherethescrewisplatedintothepedicleofvertebraearchMeasurethedigitaldataofPWand

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