The analysis of the optimum sacroiliac screw channel of the second sacral vertebra
TAN Pei-Yong, XIANG Zhou, ZHANG Jia-Jin, SONG Ban, LI Jia-Bing, HUANG Zi-Xing
Chinese Journal of Clinical Anatomy ›› 2013, Vol. 31 ›› Issue (2) : 140-143.
The analysis of the optimum sacroiliac screw channel of the second sacral vertebra
Objective Using Digital Simulation Technique(DST) to find and measure the optimum sacroiliac screw channel(OSSC) of the second sacral vertebra. Methods This study included 8 adult patients without pelvic disease admitted to the hospital In April 2011 to July 2011, and imports their pelvic CT scan data into Mimics for 3D reconstruction, and uses DST to establish the sacral cavity die, and uses the perspective of the sacral cavity die to determine the OSSC, and uses Space Analytical Geometry's (SAG) to measure it's parameters. Results All of the 8 cases (16 sides) can use DST to determine the OSSC of S2. The parameter of the OSSC of S2: The max radius is (6.38±0.54)mm in male, and(4.9±0.74)mm in female; The depth is (68.93±3.49)mm in male, and(58.43±8.16)mm in female; The angle with sagittal plane is (73.48±8.57)° in male, and(79.93±5.29)° in female; The angle with axial plane is (14.07±6.22)° in male, and(6.95±4.81)° in female; The angle with coronal plane is (7.12±7.11)° in male, and(5.87±5.01)° in female. The way to determine the initial point and the end point of OSSC: Draw a rectangle whose sides are horizontal or vertical to just right encircle the pelvic on the out-let pelvic X-ray films. Establish a 2-D rectangular coordinates whose origin is the lower left vertices of the rectangle, and point (0, 1) is the upper left vertices of the rectangle, and the point (1,0) is the lower right vertices of the rectangle. The coordinate of the initial point of OSSC is (0.5±0.26, 0.52±0.04) in male, and (0.49±0.24, 0.47±0.10) in female. The coordinate of the end point of OSSC is (0.5±0.01, 0.59±0.07) in male, (0.5±0.02, 0.49±0.14) in female. Use the same way to draw the rectangle and define the rectangular coordinates on the in-let pelvic X-ray films. The coordinate of the initial point of OSSC is (0.5±0.26, 0.52±0.04) in male, and (0.49±0.24, 0.47±0.10) in female. The coordinate of the end point of OSSC is (0.5±0.01, 0.78±0.01) in male, (0.5±0.02, 0.81±0.03) in female. Comparing between men and women, some parameters (the max radius, the depth, the angle with axial plane) have statistically significant difference(P<0.05),and the other have no statistically significant difference (P>0.05). Conclusions The DST can accurately determine the OSSC of S2.
The second sacral vertebra / Sacroiliac screws / Tomography, X-Ray Computed
[1] Simonian PT, Routt MLC JR.Biomechanics of pelvic fixation
[J].Orthop Clin North Am, 1997, 28(3): 351-367.
[2] Garcia JM, Doblaré M, Seral B,et al. Three-dimensional finite element analysis of several internal and external pelvis fixations
[J].J Biomech Eng, 2000, 122(5): 516-522.
[3] Schweitzer D, Zylberberg A, Córdova M, et al. Closed reduction and iliosacral percutaneous fixation of unstable pelvic ring fractures
[J]. Injury, 2008, 39(8): 869-874.
[4] Gautier E, B?覿chler R, Heini PF,et al. Accuracy of computer-guided screw fixation of the sacroiliac joint
[J].Clin Orthop Relat Res,2001,(393):310-317.
[5] Hinsche AF, Giannoudis PV, Smith RM,et al. Fluoroscopy-based multiplanar image guidance for insertion of sacroiliac screws
[J].Clin Orthop Relat Res,2002,(395):135-144.
[6] Blake-Toker AM, Hawkins L, Nadalo L, et al. CT guided percutaneous fixation of sacroiliac fractures in trauma patients
[J].J Trauma,2001, 51(6): 1117-1121.
[7] O‘Brien JR, Yu WD, Bhatnagar R. An anatomic study of the S2 iliac technique for lumbopelvic screw placement
[J]. Spine 2009, 34(12): E439-E442.
[8] 阮默,徐达传,汪新民,等. 经皮骶髂螺钉内固定术的应用解剖学研究
[J]. 中国临床解剖学杂志,2006,(5): 479-484.
[9] 柳伟,杜心如,杨立辉,等. 合并腰骶移行椎时应用骶髂螺钉的临床解剖测量
[J]. 中国临床解剖学杂志,2011,(5): 520-523.
[10] 张德春.骶髂螺钉内固定术的临床应用解剖学及CT测量的实验研究
[D].2006.
[11] 洪华兴,潘志军,陈欣,等. 经S2椎弓根骶髂关节螺钉固定CT和解剖学研究
[J]. 中国骨伤,2004,(9): 527-530.
[12] 袁硕,邱勇,朱锋,等. 成人后路经第2骶椎骶髂螺钉固定钉道的CT测量
[J]. 中国脊柱脊髓杂志,2011,(12): 987-991.
[13] 乔国勇.经S2椎弓根骶髂关节螺钉固定钉道参数的研究
[J].临床医学工程,2009,16(1): 27-28.
[14] 谭健,王文军,李严兵.寰椎椎弓根进钉通道的数字解剖学研究
[J].中国脊柱脊髓杂志,2010,20(11):885-888.
[15] 何帆,尹庆水,赵廷宝. 寰椎椎弓根形态分类与椎弓根螺钉植钉方法研究
[J]. 中国修复重建外科杂志,2008,22(8):905-909.
[16] 张骏,金正帅. 寰椎椎弓根螺钉进钉点与枢椎椎弓根内壁水平间距关系的研究
[J]. 南京医科大学学报(自然科学版),2009,29(7):1009-1013.
[17] 李严兵,张韶辉,谢叻,等. 颈椎椎弓根进钉通道、进钉点与椎体外侧面三维关系定位分析
[J]. 中国骨科临床与基础研究杂志,2010,2(2):107-112.
[18] 李严兵,谢叻,陆声,等. 胸椎椎弓根进钉通道随外偏角变化的数字解剖学研究
[J]. 中国骨科临床与基础研究杂志,2010,2(2):120-124.
[19] 谢叻,李严兵,钟世镇,等.椎弓根进钉通道数字化分析研究
[J].系统仿真学报,2008;20(S1):378-380.
[20] 李培秀,徐晓磊,王增立,等.应用交互式医学影像控制系统仿真设计椎弓根最佳进钉通道
[J].中国脊柱脊髓杂志,2011,21(2):122-124.
[21]Bajner A. Normal values of sacroiliac index according to gender and age
[J]. Orvosi Hetilap, 2009, 150(33): 1551-1555.
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