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王琪,郭明明,徐森,马骏雄,孟令志,杨会峰,刘军,项良碧.应用影像归档和通信系统测量成人下颈椎关节突关节的临床意义[J].脊柱外科杂志,2017,15(3):171-176.
应用影像归档和通信系统测量成人下颈椎关节突关节的临床意义     点此下载全文 (Fulltext)
王琪1  郭明明1  徐森2  马骏雄1  孟令志1  杨会峰1  刘军1  项良碧1
1. 沈阳军区总医院骨科, 辽宁 110016;
2. 沈阳军区总医院放射诊断科, 辽宁 110016
基金项目:中国博士后科学基金面上项目(2015M582821);辽宁省自然科学基金(201602794)
DOI:10.3969/j.issn.1672-2957.2017.03.009
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摘要:
      目的 通过影像归档和通信系统(PACS)测量成人下颈椎关节突关节解剖参数,并探讨其临床意义。方法 选择2014年9月-2015年2月本院63例成年门诊患者,行颈椎CT检查,所得数据传输至PACS,然后在AquariusNETViewer (V4.4.6.80)窗口界面手工进行颈椎关节突关节各参数的测量分析。所得数据纳入统计学分析,比较同一关节突关节左右侧的差异以及男女间的差异。结果 成年人下颈椎同一关节突关节的左右两侧横径、矢状径及外斜径差异无统计学意义,成年人下颈椎双侧关节突关节基本对称。男性下颈椎不同关节突关节面的矢状径为11~13 mm,外斜径为11~12 mm;女性矢状径为10~12 mm,外斜径为10~11 mm,男性下颈椎关节突关节明显大于女性。结论 PACS测量成人下关节突关节解剖参数具有较高的一致性,对颈椎后路置钉融合手术中侧块螺钉的选择具有参考意义。按Magerl或Anderson方法置入下颈椎侧块螺钉时,男性选择长12~14 mm的螺钉是安全的,而对于女性则建议选择长12 mm的侧块螺钉。
关键词:颈椎  椎关节突关节  骨钉  放射摄影影像解释,计算机辅助
Measurement of zygapophyseal joints of lower cervical spine in adults by picture archiving and communication system and its clinical signifcance    Fulltext
WANG Qi1  GUO Ming-ming1  XU Sen2  MA Jun-xiong1  MENG Ling-zhi1  YANG Hui-feng1  LIU Jun1  XIANG Liang-bi1
1. Department of Orthopaedics, General Hospital of Shenyang Military Area Command, Shenyang 110016, Liaoning, China;
2. Department of Diagnostic Radiology, General Hospital of Shenyang Military Area Command, Shenyang 110016, Liaoning, China
Fund Project:
Abstract:
      Objective To measure the zygapophyseal joints anatomic parameters of the lower cervical spines in adults by picture archiving and communication system (PACS) and explore its clinical significance.Methods Sixty-three adults were included in this study, all of whom received CT examination on the cervical spine, and the relative data of cervical zygapophyseal joints were transmitted manually to PACS.Then in AquariusNET Viewer (V4.4.6.80) the parameters were measured manually.Statistical analysis was carried out subsequently, then the mean and standard deviation were calculated and compared between both sides and between male and female subjects.Results No statistical differences were found in transverse, sagittal and oblique diameter respectively between both sides of cervical zygapophyseal joints in adults.Bilateral zygapophyseal joints of the lower cervical spine in adults are symmetrical on the whole.The sagittal diameter was about 11-13 mm, and oblique diameter 11-12 mm in male adults, while 10-12 and 10-11 mm respectively in female ones.Zygapophyseal joints in the male were bigger than those in the female.Conclusion Measurement of the zygapophyseal joints anatomic parameters of the lower cervical spines in adults by PACS have high consistency, and it has reference value for the selection of the lateral mass screws in the posterior cervical fusion surgery.According to the Magerl or Anderson technique for the insertion of lateral mass screws, the length of 12-14 mm is safe for the male, and 12 mm for the female.
Keywords:Cervical vertebrae  Zygapophyseal joint  Bone nails  Radiographic image interpretation, computer assisted
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