解剖学研究腰椎间盘,神经和psoas主要之间的关系
Hongqi Sun1, Chaohui Fan1, Xinying Zhou1
1Department of Spine Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.
概括
这项研究绘制了椎间盘附近的腰部神经. 外科医生可以利用这些解剖学数据在极端侧侧体间融合过程中减少神经损伤.
科学领域:
- 人体解剖学 解剖学 解剖学
- 手术神经科学 手术神经科学
背景情况:
- 神经损伤是极端侧侧体间融合 (ELIF) 的未经研究的并发症.
- 神经的详细解剖描述对于外科医生来说至关重要,以尽量减少手术风险.
研究的目的:
- 描述腰椎和交感神经的解剖特征.
- 为了检查这些神经,腰椎间盘和psoas大肌肉之间的关系.
主要方法:
- 在10个装的男性尸体中剖析腰椎和交感神经.
- 检查神经分布,数量和空间方向相对于L1/2到L4/5的椎间盘.
- CT成像以确认神经位置,用金属线标记神经路径通过psoas大肌肉.
主要成果:
- 在L1/2和L4/5盘层面的区域III中没有发现神经.
- 在L2/3的II区和III区缺少腰椎,只存在沟通.
- 在L1-L5水平上,与前半部分相比,在psoas大肌的后半部分观察到更高的神经密度.
- 生殖骨神经通过L3/4.4的II和III区.
结论:
- 特定的区域 (例如L1/2和L4/5的区域III) 没有神经,提供潜在的安全边缘.
- 在外科手术过程中,腰椎似乎在L2/3的II和III区域安全.
- 了解psoas大肌肉内的神经分布对于预防腰部融合手术期间的阳性损伤至关重要.
相关概念视频
Spinal Nerves: Plexus II
568
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
568
Spinal Nerves: Anatomy
2.7K
Spinal nerves are pivotal conduits in the nervous system, bridging the central nervous system (CNS) with the peripheral nervous system (PNS). These nerves enable a complex communication network between the brain, spinal cord, and the rest of the body, facilitating sensory input, motor output, and autonomic functions.
There are 31 bilateral pairs of spinal nerves, each emerging from the spinal cord through the intervertebral foramina—openings between adjacent vertebrae. These nerves are...
There are 31 bilateral pairs of spinal nerves, each emerging from the spinal cord through the intervertebral foramina—openings between adjacent vertebrae. These nerves are...
2.7K
Muscles of the Vertebral Column
1.3K
The back muscles that lie deep into the thoracolumbar fascia are called intrinsic or true back muscles. These muscles are divided into four layers: superficial, intermediate, deep, and deepest layers.
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
Superficial Layer:
The superficial layer consists primarily of the splenius muscles, which include the splenius capitis and splenius cervicis. These muscles are mainly responsible for the head and cervical spine movements, including extension, rotation, and lateral bending. The splenius capitis...
1.3K
Muscles of the Abdomen
1.3K
The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and...
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and...
1.3K
Structural Joints: Cartilaginous Joints
2.2K
As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
2.2K
General Structure of a Vertebra
2.8K
A typical vertebra, with the exception of the sacrum and coccyx, consists of a body, a vertebral arch, and seven different projections termed processes. The anterior portion of the vertebrae, the body, supports about half the body’s weight. The vertebral bodies progressively increase in size and thickness from the cervical region to the lumbar region of the vertebral column. The intervertebral discs present between the bodies of adjacent vertebrae firmly unites them, forming a continuous...
2.8K


