The minimally invasive surgery positioning value and applied anatomy of lumbar zygapophysial joint

LIU Cong, YIN He-ping, LI Zhi-jun, HU Ji-ping, YANG Jian-guo, WU Hai-jun

Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (3) : 249-253.

Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (3) : 249-253. DOI: 10.13418/j.issn.1001-165x.2016.03.003

The minimally invasive surgery positioning value and applied anatomy of lumbar zygapophysial joint

  • LIU Cong1, YIN He-ping2, LI Zhi-jun3, HU Ji-ping1, YANG Jian-guo1, WU Hai-jun1
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Abstract

Objective To explore the feasibility of lumbar zygapophysial joint is an important anatomical markers for minimally invasive posterior lumbar surgery by measurement and observation of the human anatomy specimens and the X-ray image data. Methods To collect 10 fresh adult human lumbar spine specimens (20 sides),80 segments and 50 parts of the lumbar spine X-ray image data. From the focus point of applied anatomy, the highest point of lumbar zygapophysial joint(HP)was used as a center to observe and measure the lumbar facet joints and adjacent anatomy-structures. Results The distance of from HP to Rami ventrales nervorum lumbalium was lower and larger,and the angle was smaller. The distance of from HP to intervertebral disc of lumbar vertebrae was gradually increased. The difference in height of HP and Midplane of lumbar intervertebral disc was 0.8~1.5 mm, the height of HP variations on the vertical axis did not exceed the scope of thickness of lumbar intervertebral disc. Conclusions Through research, lumbar zygapophysial joint has some characteristics, including stable position、easy exposure、easy identification and high accuracy. It is an ideal anatomic landmarks. There is a good anatomical localization effect in the lumbar posterior minimally invasive operations.

Key words

Lumbar vertebra / Zygapophysial joints / Anatomical location / Minimally invasive surgery

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LIU Cong, YIN He-ping, LI Zhi-jun, HU Ji-ping, YANG Jian-guo, WU Hai-jun. The minimally invasive surgery positioning value and applied anatomy of lumbar zygapophysial joint[J]. Chinese Journal of Clinical Anatomy. 2016, 34(3): 249-253 https://doi.org/10.13418/j.issn.1001-165x.2016.03.003

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