Anatomical measurement and clinical significance of 38 cases of atlas lateral mass nourishment hole
SU Bao-ke, WANG Wei, CAI Yong-qiang, ZHANG Yun-feng, WANG Li-dong, XU Yang-yang,FENG Hui-mei, HE Yu-jie, WANG Hai-yan, LI Zhi-jun, WANG Xing, WANG Zhi-qiang, LI Xiao-he
Chinese Journal of Clinical Anatomy ›› 2019, Vol. 37 ›› Issue (2) : 126-129.
Anatomical measurement and clinical significance of 38 cases of atlas lateral mass nourishment hole
Objective To observe and measure the clinical anatomical parameters of atlas lateral mass nutrient foramen, so as to provide a reference for the reduction of vascular injury risk by atlas lateral mass screw fixation. Methods Thirty-eight normal dry human atlas specimens were randomly selected to observe the shape, number, location and symmetry of the nutrient foramen in the lateral mass of atlas (defined as those with a diameter greater than or equal to 1.0 mm). The maximum transverse diameter, longitudinal diameter, depth, and the distance between the outer edge of the nutrient foramen and the inner edge of the transverse perforation hole were measured. Results In 38 cases, 95% of atlas had nutrient foramen, 42% were round, 8% were transverse ellipse, 45% were longitudinal ellipse, and 5% had no nutrient foramen. About 79% of the sides were symmetrical, and about 16% of the sides were asymmetrical. The maximum transverse diameter of the nutrient foramen was (2.16±0.86) mm, the maximum longitudinal diameter was (2.82±1.03) mm, and the maximum depth of the nutrient foramen was (1.75±0.71) mm. The outer diameter of the nourishing hole was between the inner diameter of the transverse hole. The distance was (8.61±1.46) mm, and there was no significant difference between the left and right sides of each measurement index. Conclusion There are nourishing holes on the left and right sides of 95% of the atlas. The position is located in the middle of the lateral mass of the atlas, which is in the channel of the pedicle screw. When atlas is fixed, the diameter of the screw can be referenced is (8.61±1.46) mm. The screw channel is located at the inner edge of the atlas lateral mass (1.73±0.7) mm.
Atlas;   / Nutrient foramen;   / Pedicle screw;   / Anatomical measurement
[1] Visocchi M, Trevisi G, Iacopino DG, et al. Odontoid process and clival regeneration with Chiari malformation worsening after transoral decompression: an unexpected and previously unreported cause of "accordion phenomenon"[J]. Eur Spine J, 2015, 24(Suppl 4): S564-568.
[2] Wu AM, Wang XY, Zhou F, et al. Percutaneous atlantoaxial anterior transarticular screw fixation combined with mini-open posterior C1/2 wire fusion for patients with a high-riding vertebral artery[J]. J Spinal Cord Med, 2016, 39(2): 234-239.
[3] Chen ZD, Wu J, Lu CW, et al. C1-C2 pedicle screw fixation for pediatric atlantoaxial dislocation: initial results and long-term follow-up[J]. J Pediatr Orthop, 2017.
[4] Zhang YH, Shao J, Chou D, et al. C1-C2 pedicle screw fixation for atlantoaxial dislocation in pediatric patients younger than 5 years: a case series of 15 patients[J]. World Neurosurg, 2017, 108: 498-505.
[5] Hai-Long YU, Wei-Jian R, Jun L, et al. Complications cause analysis and preventive treatment on lateral mass of the atlas and pedicle screw fixation in cervical fracture[J]. Orthopedic Journal of China, 2014, 22(16):1462-1465.
[6] 邱勇, 芮碧宇, 朱泽章, 等. 胸椎椎体侧后方滋养动脉孔对于螺钉内固定的定位意义[J]. 中华外科杂志, 2007, 45(16): 1105-1107.
[7] 刘家明, 江建, 刘志礼, 等. 经滋养孔枢椎椎弓根螺钉进钉的解剖学研究[J]. 中国临床解剖学杂志, 2014, 32(6): 637-639.
/
〈 |
|
〉 |