寰枢椎前路固定的应用解剖学分析.doc

预设进钉点 A、B 的距离约 15mm；A、C 距离约为 30mm；预设线与前正 中线的理想夹角约 20°。 依据双侧寰枢椎固定预设点，观察其形状基本呈―V‖形， ―V‖形顶点夹角 约 40 °， ―V‖形双臂长约 30~35mm 关键词：寰椎；枢椎；经口咽入路；应用解剖；寰枢椎复合体 3 Applied Anatomical Study in Anterior Fixating for Atlantoaxial Junction Abstract Objective: Measured by observing the normal adult specimens and measured using spiral CT data, On Atlas, Axis and Atlantoaxial complex research, according to different regions of atlantoaxial front of the soft tissue thickness, blood vessels course and in front of the structural characteristics.Theoretically, the safety of the range of exposure, atlantoaxial lateral mass and the Axis vertebral default security entry points, entry points away, the entrance depth and angle, etc. For the Atlas and the Axis of anterior fixation devices designed to provide safe, reliable, scientific anatomical basis. Methods: We measured 15 adult wet specimens. The samples were placed on the operating table. The neck was tipped about 15°. Codman distractor was used to open oropharynx, and then the surgical field was exposure. We simulated center approach of ropharynx. Layered cut, observing and measuring the thickness of soft tissue, the default security entrance point. Sneak to the side to the vertebral anatomy of the lateral edge of bony structures measuring mark and the distance between the vessels and nerves, the upper to Atlas-occipital membrane, the lower edge of the bottom about to C2, measured in front of atlantoaxial distance between the entrance point .Then After removal of soft tissue, we got completely free of cervical specimens where was from atlanto-occipital joint to the lower edge of C7, with a digital camera positive cervical samples, measuring the default anchor point to connect with the center line of the angle. Random sample of 60 cases of cervical spine CT scan data of 64 rows. In ADW4.3 workstation to use its accompanying software, measurement Axis lateral mass screw entry point of the entrance depth, safe and feasible entry angle. Along the