胸椎椎弓根根外内固定的应用解剖学研究及其意义（Applied anatomy of thoracic pedicle screw internal fixation and its significance）.docVIP

胸椎椎弓根根外内固定的应用解剖学研究及其意义（Applied anatomy of thoracic pedicle screw internal fixation and its significance） Chinese Journal of trauma 768 2005 October th Volume 21 10 Chin, J, Trauma, October 2005, Vol. 21, No. 10 Clinical research A. Applied anatomy of thoracic pedicle screw root external fixation Research and its significance Cui Xingang, Zhang Zuolun, Chen Haisong, Sun Jianmin, Yuan Zenong Abstract: Objective To investigate the surgical approach of thoracic pedicle screw fixation And study its anatomy Posterior thoracic spine Internal fixation provides a safe and reliable way. To avoid dangerous complications of thoracic pedicle screw surgery. Method on 60 positive Adult T1 to 10 segments CT scanning images were studied by radiation anatomy To measure the improved transverse approach, transverse approach and Zhui Gonggen The length of the three entry routes, The length of the approach is the longest, the transverse approach is the next, and the pedicle approach is the shortest The path of the pedicle was minimal, and the length and angle of each approach to the anterior vertebral body, at 1 /3, and to the anterior midpoint of the vertebral body were statistically different Significance (P, 0.01 or 0.05); three nailing parameters for the approach were set and 5 pins were successfully nailed on the basis of the measurements. Width, inclination The data were analyzed statistically and the difference between the three parameters was compared different According to the result of measurement, the parameters of each approach are set Surgical simulations were performed on 5 cadavers After nailing, with the naked eye CT scan Description To evaluate the accuracy of nailing. Results there were significant differences in the three parameters between the two approaches (P, 0.05). Improved transverse process The narrowest way Compared with the first two approaches, the difference was statistically significant (P 0. 01); inclined angle modified rib into the largest road Cross en