下颈椎新型双螺纹椎弓根螺钉设计的解剖学测量

doi:10.13418/j.issn.1001-165x.2024.2.01

中国临床解剖学杂志 ›› 2024, Vol. 42 ›› Issue (2): 121-125.doi: 10.13418/j.issn.1001-165x.2024.2.01

• 应用解剖 • 下一篇

下颈椎新型双螺纹椎弓根螺钉设计的解剖学测量

刘子豪^1,2,3，刘家明^1,2,3，颜金祥^1,2,3，吴嘉宝^1,2,3，黄山虎^1,2,3，张志宏^1,2,3，刘志礼^1,2,3*

1. 南昌大学第一附属医院医学创新中心，南昌 330006； 2. 江西省脊柱脊髓重点实验室，南昌 330006；
3. 南昌大学第一附属医院骨科，南昌 330006

收稿日期:2023-04-05 出版日期:2024-03-25 发布日期:2024-04-22
通讯作者: 刘志礼，主任医师，教授，博士生导师，E-mail：zgm7 977@163.com
作者简介:刘子豪(1997-)，硕士研究生，研究方向：脊柱外科，E-mail: 769029908@qq.com
基金资助:
中央引导地方科技发展资金（20222ZDH04095）；江西省重点研发计划项目（20223BBG71S02）

Anatomical measurement of the new double-threaded pedicle screw in the lower cervical spine

Liu Zihao^1,2,3, Liu Jiaming^1,2,3, Yan Jinxiang^1,2,3, Wu Jiabao^1,2,3, Huang Shanhu^1,2,3, Zhang Zhihong^1,2,3, Liu Zhili^1,2,3*

1.Center of Medical Innovation, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China; 2. Jiangxi Provincial Key Laboratory of Spine and Spinal Cord, Nanchang 330006, China; 3. Department of Orthopedics, the First Affilated Hospital of Nanchang University, Nanchang 330006, China

Received:2023-04-05 Online:2024-03-25 Published:2024-04-22

摘要/Abstract

摘要： 目的通过测量正常人群颈椎解剖学参数，为设计新型双螺纹椎弓根螺钉提供理论依据。方法纳入100名健康人群，完善颈椎CT扫描，在CT片上分别测量C3~7的双侧椎弓根螺钉进钉路径长度（包括椎体内长度、椎弓根长度、椎板长度，作为椎弓根螺钉长度设计参考）、进钉外展角和椎弓根峡部的宽度和高度（作为椎弓根螺钉直径设计参考）。计算各测量结果的均值及四分位数。结果纳入成年健康志愿者100人的基本信息，包括身高、年龄，体重，合并疾病，其中男54例，女46例，平均年龄35.95岁。从C3~7，各参数左右两侧对比，差异无统计学意义（P>0.05），男女间对比，差异无统计学意义（P>0.05）下颈椎椎弓根螺钉进钉路径椎体平均长度（15.85±1.20）~（19.40±1.50）mm；椎弓根平均长度（5.42±1.06）~（6.03±0.84）mm；椎板平均长度（9.52±1.15）~（10.33±1.58）mm。进钉外展角平均值范围（39.82±2.53）°~（42.56±2.50）°；椎弓根峡部宽度平均值（5.84±0.87）~（7.10±1.05）mm；椎弓根峡部高度平均值（6.71±1.10）~（8.26±1.22）mm。结论通过对正常人群颈椎C3~C7椎弓根螺钉进钉相关解剖参数的测量，为设计新型双螺纹颈椎椎弓根螺钉提供了理论依据。

关键词: 下颈椎； , , 解剖学测量； , , 双螺纹椎弓根螺钉

Abstract: Objective To provide theoretical basis for the design of new double threaded pedicle screws, by measuring the anatomical parameters of cervical vertebrae in normal people. Methods A total of 100 healthy individuals were collected and the cervical spine CT scan were completed. The length of bilateral pedicle screw insertion path (including intra-vertebral length, pedicle length, and vertebral plate length, as reference for pedicle screw length design), insertion abduction angle, and width and height of pedicle isthmus (as reference for pedicle screw diameter design) of C3~7 on CT scan. The mean value and quartile of each measurement result were calculated. Results Basic information of 100 adult healthy volunteers, including height, age, weight, and comorbidities, including 54 males and 46 females, with an average age of 35.95 years were recorded. From the CT scan of C3~7, there was no statistical difference between the left and right sides of each parameter (P>0.05). There was no statistical difference in male and female (P>0.05). The average length of the vertebral body in the lower cervical pedicle screw insertion path was (15.85±1.20)~(19.40±1.50) mm. The average length of the pedicle was (5.42±1.06)~(6.03±0.84) mm. The average length of the vertebral lamina was (9.52±1.15)~(10.33±1.58) mm. The average range of nail insertion and abduction angle was (39.82±2.53) °~(42.56±2.50) °. The average width of the pedicle isthmus was (5.84±0.87)~(7.10±1.05) mm. The average height of the pedicle isthmus was (6.71±1.10)~(8.26±1.22) mm. Conclusions The measurement of the anatomical parameters related to C3~C7 pedicle screw fixation in normal people provides theoretical basis for the design of a new type of double-threaded pedicle screw.

Key words: Lower cervical vertebra; , , Anatomical measurement; , , Double- threaded pedicle screw

中图分类号:

R323.1

刘子豪, 刘家明, 颜金祥, 吴嘉宝, 黄山虎, 张志宏, 刘志礼. 下颈椎新型双螺纹椎弓根螺钉设计的解剖学测量[J]. 中国临床解剖学杂志, 2024, 42(2): 121-125.

Liu Zihao, Liu Jiaming, Yan Jinxiang, Wu Jiabao, Huang Shanhu, Zhang Zhihong, Liu Zhili. Anatomical measurement of the new double-threaded pedicle screw in the lower cervical spine[J]. Chinese Journal of Clinical Anatomy, 2024, 42(2): 121-125.

参考文献

[1] Hachan S, Bin Abd Razak HR, Loo WL, et al. Cervical pedicle screw instrumentation is more reliable with O-arm-based 3D navigation: analysis of cervical pedicle screw placement accuracy with O-arm-based 3D navigation[J]. Eur Spine, 2018, 27:2729-2736. DOI: 10.1007/s00586-018-5585-1.
[2] Kast E, Mohr K, Richter HP, et al. Complications of transpedicular screw fixation in the cervical spine[J]. Eur Spine, 2006, 15:327-334. DOI: 10.1007/s00586-004-0861-7.
[3] Kotani Y, Abumi K, Ito M, et al. Improved accuracy of computer-assisted cervical pedicle screw insertion [J]. Neurosurgery, 2003, 99(3 Suppl):257–263. DOI: 10.3171/spi.2003.99.3.0257.
[4] Jeanneret B, Gebhard JS, Magerl F. Transpedicular screw fixation of articular mass fracture-separation: results of an anatomical study and operative technique. [J] Spinal Disord,1994,7:222–229. DOI: 10.1097/00002517-199407030-00004.
[5] Jones EL, Heller JG, Silcox DH, et al. Cervical pedicle screws versus lateral mass screws. Anatomic feasibility and biomechanical comparison[J]. Spine (Phila Pa 1976), 1997, 22(9):977-982. DOI: 10.1097/00007632-199705010-00009
[6] Gelalis ID, Paschos NK, Pakos EE, et al. Accuracy of pedicle screw placement: a systematic review of prospective in vivo studies comparing free hand, fluoroscopy guidance and navigation techniques[J]. Eur Spine,2012, 21:247-255. DOI: 10.1007/s00586-011-2011-3.
[7] Barrey C, Cotton F, Jund J, et al. Transpedicular screwing of the seventh cervical vertebra: anatomical considerations and surgical technique [J]. Surg Radiol Anat, 2003, 25(5,6):354-360. DOI: 10.1007/s00276-003-0163-5.
[8] Jeanneret B, Gebhard JS, Magerl F. Transpedicular screw fixation of articular mass fracture-separation: results of an anatomical study and operative technique [J]. Spinal Disord,1994,7(3):222-229. DOI: 10.1097/00002517-199407030-00004.
[9] Karami KJ, Buckenmeyer LE, Kiapour AM, et al. Biomechanical evaluation of the pedicle screw insertion depth effect on screw stability under cyclic loading and subsequent pullout[J]. Spinal Disord Tech, 2015, 28(3):E133-E139. DOI: 10.1097/BSD.0000000000000178.
[10] Ebraheim NA, Xu R, Knight T, et al. Morphometric evaluation of lower cervical pedicle and its projection [J]. Spine, 1997, 22(1):1-6. DOI: 10.1097/00007632-199701010-00001.
[11] Jeanneret B, Gebhard JS, Magerl F. Transpedicular screw fixation of articular mass fracture-separation: results of an anatomical study and operative technique[J]. Spinal Disord, 1994, 7(3):222-229. DOI: 10.1097/00002517-199407030-00004.
[12]康意军, 陈飞, 吕国华, 等. 颈椎椎弓根钉在强直性脊柱炎颈椎骨折中的应用[J].中南大学学报(医学版), 2005, 30(6):700-703.
[13] Westermann L, Spemes C, Eysel P, et al. Computer tomography-based morphometric analysis of the cervical spine pedicles C3-C7[J]. Acta Neurochir (Wien), 2018,160:863-871. DOI: 10.1007/s00701-018-3481-4.
[14]Chanplakorn P, Kraiwattanapong C, Aroonjarattham K, et al. Morphometric evaluation of subaxial cervical spine using multi-detector computerized tomography (MD-CT) scan: the consideration for cervical pedicle screws fixation[J]. BMC Musculoskelet Disord, 2014, 15:125. DOI: 10.1186/1471-2474-15-125.
[15] Krenn MH, Piotrowski WP, Penzkofer R, et al. Influence of thread design on pedicle screw fixation. Laboratory investigation [J].Neurosurg Spine, 2008, 9(1):90-95. DOI: 10.3171/SPI/2008/9/7/090.

下颈椎新型双螺纹椎弓根螺钉设计的解剖学测量

Anatomical measurement of the new double-threaded pedicle screw in the lower cervical spine

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

Metrics

本文评价

推荐阅读 0

[1]	陈钧麟, 马向阳, 邹小宝, 付索超, 朱昌荣, 邓琛府, 马仁财, 陈泽星, 夏虹. C_2/3经关节突经椎弓根螺钉固定的影像学测量及可行性分析[J]. 中国临床解剖学杂志, 2024, 42(2): 126-130.
[2]	郑益钒, 陈嘉楠, 裴璇, 周唯, 方志勋, 程翼鹏, 刘曦明. 髋臼后柱壁安全置钉的数字化解剖研究[J]. 中国临床解剖学杂志, 2024, 42(2): 131-135.
[3]	杨涛, 高转, 刘炳智, 李武超, 孙睿哲, 郎昱颖, 李京. 尺侧副韧带后束的解剖学特征及临床意义[J]. 中国临床解剖学杂志, 2024, 42(2): 136-139.
[4]	卓航, 周泽霖, 邬裕, 龚焱, 宋泽峰, 颜先伟, 沈姿, 卢国樑, 梁德, 江晓兵, 余翔. 基于中老年MRI腰椎椎基静脉孔的影像解剖学研究[J]. 中国临床解剖学杂志, 2024, 42(2): 140-144.
[5]	李佳伟, 张凯, 丁良甲, 王海燕, 陈清威, 刘启, 于小明, 兰文杰, 李筱贺. 内蒙古地区样本髋关节置换假体位置数字化评估[J]. 中国临床解剖学杂志, 2024, 42(2): 145-152.
[6]	方源, 康志杰, 王海燕, 沙丽荣, 李筱贺, 金凤, 齐昕, 王彦超, 张云凤. 未成年人骶骨形态与耻骨联合相对位置三维数字化测量及临床意义[J]. 中国临床解剖学杂志, 2024, 42(2): 153-158.
[7]	吴嘉宝, 孙伯林, 邢锴, 张宁, 周荣平, 陈江伟, 刘志礼, 刘家明. 退行性腰椎侧凸椎管形态学特征及其与脊柱-骨盆参数的相关性分析[J]. 中国临床解剖学杂志, 2024, 42(2): 159-167.
[8]	杨先文, 王飞, 成赋斌, 廖立青. 封闭治疗肩周炎的应用解剖学研究[J]. 中国临床解剖学杂志, 2024, 42(2): 168-173.
[9]	侯晓睿, 李浩坤, 宋贻芳, 常若水, 薛小磊, 张千兵, 吴砂, 王妮莎. 头颈部鳞状细胞癌巨噬细胞关键基因的筛选分析[J]. 中国临床解剖学杂志, 2024, 42(2): 174-180.
[10]	孙丽, 李欣欣, 李跃, 葛明晓, 欧建平, 葛淑琦. 拮抗剂方案新鲜胚胎移植和冻融胚胎移植临床结局比较[J]. 中国临床解剖学杂志, 2024, 42(2): 181-185.
[11]	张凡, 韦焕杰, 李龙, 欧阳涛, 蔡娟, 梁秋玲, 曾育辉. 连翘苷对感染性休克小鼠急性肺损伤的作用与机制[J]. 中国临床解剖学杂志, 2024, 42(2): 186-190.
[12]	阮磊, 黄博, 王兰兰, 薛惠天, 孙梦龙, 段苗苗, 彭亮. 推拿扌衮法对骨骼肌钝挫伤家兔模型损伤后炎症及纤维化的影响[J]. 中国临床解剖学杂志, 2024, 42(2): 191-195.
[13]	刘瑞平, 钱蕾, 刘燕燕, 万心竹, 陈春艳, 王镱凝, 于宛琪, 欧阳钧. 有跌倒史老年人坐立运动过程中的肌肉协同分析[J]. 中国临床解剖学杂志, 2024, 42(2): 196-200.
[14]	张云浩, 范凯, 黄从军, 程强强, 王官燕, 肖友平, 梅傲冰. 基于CT数据融合的三维可视化技术及数字虚拟诊疗在肾上腺肿瘤的应用研究[J]. 中国临床解剖学杂志, 2024, 42(2): 201-207.
[15]	沈江江, 刘志红, 刘宝辉. 神经内镜联合显微镜微血管减压术治疗原发性三叉神经痛的疗效观察#br#[J]. 中国临床解剖学杂志, 2024, 42(2): 208-212.