青少年骶骨骶髂螺钉钉道增龄变化的数字化评估

doi:10.13418/j.issn.1001-165x.2022.4.05

中国临床解剖学杂志 ›› 2022, Vol. 40 ›› Issue (4): 398-403.doi: 10.13418/j.issn.1001-165x.2022.4.05

青少年骶骨骶髂螺钉钉道增龄变化的数字化评估

阿拉木斯¹，张元智²*，胡旭锋¹，刘刚²，刘亚欧²，莫伟鹏²，郝晓东²，李严兵³*

1.内蒙古医科大学，呼和浩特 010110； 2.内蒙古医科大学附属医院骨科，呼和浩特 010050；
3.南方医科大学基础医学院，广州 510515

收稿日期:2021-08-03 出版日期:2022-07-25 发布日期:2022-07-26
通讯作者: 张元智，教授，硕士生导师，E-mail：dryzzhang@163.com；李严兵，教授，硕士生导师，E-mail：hnlybup001@163.com
作者简介:阿拉木斯（1991-），男，硕士研究生，医师，研究方向：骨外科
基金资助:
国家自然科学基金项目（81760412）；内蒙古自治区科技成果转化项目（CGZH2018148）；内蒙古卫生健康领域应用技术研发项目（201802157）；内蒙古自治区自然科学基金项目（2019MS08151）；内蒙古医科大学“致远”人才基金项目（ZY0120011）

Digital evaluation of the age-related changes of the iliosacral screw pathway in adolescents

A Lamusi¹, Zhang Yuanzhi²*, Hu Xufeng¹, Liu Gang², Liu Yaou², Mo Weipeng², Hao Xiaodong², Li Yanbing³*

1. Inner Mongolia Medical University, Hohhot 010110, China；2. Department of Orthopaedics, the Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China; 3. School of Basic Medicine, Southern Medical University, Guangzhou 510515, China

Received:2021-08-03 Online:2022-07-25 Published:2022-07-26

摘要/Abstract

摘要： 目的通过数字化分析、测量青少年骶骨安全骨性螺钉钉道并观察钉道增龄变化的规律。方法收集160名10~17岁健康青少年志愿者骨盆CT扫描数据，三维重建测量S1、S2横向骶髂螺钉最优置钉通道的轴向狭窄处的宽度，测量S1、S2最优钉道经“骶骨经髂骨”（trans-sacral trans-iliac，TSTI）螺钉通道长度，测量S1、S2 TSTI通道投影长短轴长度并观察通道随年龄增长的变化规律。结果 S1骶髂螺钉安全通道宽度，男性：左（8.96±2.02）mm，右（9.03±2.24）mm；女性：左（8.26±1.96）mm，右（8.37±2.11）mm。S1处TSTI螺钉长度，男性（141.25±5.92）mm，女性（134.37±5.68）mm。S2骶髂螺钉安全通道宽度，男性：左（6.49±1.98）mm，右（6.38±1.88）mm；女性：左（6.21±1.76）mm，右（6.14±1.55）mm。S2处TSTI螺钉长度，男性（126.28±4.94）mm，女性（122.31±5.13）mm。结论青少年在S1、S2均存在影像学上安全的骨性髂骶螺钉通道，随着年龄的增长，通道投影长短轴比例逐渐加大，高度的增长速度快于宽度的增长速度。

关键词: 青少年, , , 骶骨, , , 螺钉通道, , , 数字化

Abstract: Objective To explore the rule of the aging change of the screw pathway through digital analysis, measurement of the safety sacral screw pathway of adolescents. Methods The pelvic CT scan data of 160 healthy adolescent volunteers aged 10~17 years old were collected in this research. The width of the axial "narrow point" of the optimal transverse sacroiliac screw placement channel of the S1, S2 was measured bilaterally by three-dimensional reconstruction. The length of the screw pathway through the "trans-sacral trans-iliac" (TSTI) at the superior screw pathway, and the width of the long and short axis of the TSTI pathway projection of the S1 and S2 were measured at the same time, and the changes of the pathway with age were observed. Results S1 sacroiliac screw safety pathway width was left (8.96±2.02) mm, right (9.03±2.24) mm in male; left (8.26±1.96) mm, right (8.37±2.11) mm in female. Sacral length of S1 TSTI screw was (141.25±5.92) mm in male, (134.37±5.68) mm in female. S2 sacroiliac screw safety pathway width was ( left (6.49±1.98) mm, right (6.38±1.88) mm in male; left (6.21±1.76) mm, right (6.14±1.55) mm in female. Sacral length of S2 TSTI screws was (126.28±4.94) mm in male, (122.31±5.13) mm in female. Conclusions There are radiologically safe bony iliosacral screw pathways in both S1 and S2 in adolescents. With the increasing of age, the ratio of the width of the long and short axis of the TSTI pathway projection of the S1 and S2 gradually increases, and the growth rate of height is faster than that of width.

Key words: , Teenagers, , , Sacrum, , , Screw pathway, , , Digital

中图分类号:

阿拉木斯, 张元智, 胡旭锋, 刘刚, 刘亚欧, 莫伟鹏, 郝晓东, 李严兵. 青少年骶骨骶髂螺钉钉道增龄变化的数字化评估[J]. 中国临床解剖学杂志, 2022, 40(4): 398-403.

A Lamusi, Zhang Yuanzhi, Hu Xufeng, Liu Gang, Liu Yaou, Mo Weipeng, Hao Xiaodong, Li Yanbing. Digital evaluation of the age-related changes of the iliosacral screw pathway in adolescents[J]. Chinese Journal of Clinical Anatomy, 2022, 40(4): 398-403.

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青少年骶骨骶髂螺钉钉道增龄变化的数字化评估

Digital evaluation of the age-related changes of the iliosacral screw pathway in adolescents

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