指定S1的起点在异形圣体的S1神经圣体螺丝放置的起点
Hongmin Cai1, Ruipeng Zhang1, Yingchao Yin1
1Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
The Journal of bone and joint surgery. American volume
|November 22, 2023
概括
一种新的方法准确地确定了S1起点,用于在圣骨形异形症中放置 iliosacral 螺丝. 这种技术可以确保在S1斜骨走廊的阴茎皮层密度以下安全精确地插入螺丝.
科学领域:
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
- 放射学 放射学是一门学科.
背景情况:
- 圣体形状变异对S1 iliosacral螺杆放置提出了挑战,因为在横向视图上难以准确识别出发点.
- 准确的地标识别对于复杂的圣骨解剖学中安全有效的螺丝固定至关重要.
研究的目的:
- 提出并验证一种新的方法,以确定在异形的圣体中S1 iliosacral螺杆放置的起点.
- 为了提高S1螺丝固定在患有圣骨形的患者的准确性和安全性.
主要方法:
- 一个特定的起点被定义为S1/S2椎间盘骨化 (OSID) 和脊椎后皮层线 (PVCL) 在侧视图上的交叉点.
- 使用来自95个异形神经的CT数据进行虚拟手术,以评估出发点相对于皮层密度 (ICD) 和S1斜骨走廊的位置.
- 对17名患者进行了临床手术,以验证地标可见性,起点位置以及螺丝放置的准确性和安全性.
主要成果:
- 虚拟模拟证实,在所有情况下,起点始终在ICD以下,在S1斜骨走廊内.
- 临床程序表明OSID和PVCL的可见性一致,起点始终在ICD以下.
- 在17名患者身上,总共安装了21个S1阴螺丝,没有错位或阳性损伤,证实了该方法的安全性和准确性.
结论:
- 交叉点的OSID和PVCL在圣经侧面视图提供了一个可靠的地标识别S1起点在异形的圣经.
- 这种方法始终将起始点放置在ICD下方和S1斜骨走廊内,从而促进安全而准确的S1 iliosacral螺丝放置.
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