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在阿拉伯人中用于椎合的状螺丝的可行性:基于计算机断层扫描的形态测量研究

Yousef Marwan¹, Ali Jarragh¹, Nizar Algarni²

¹Department of Surgery, College of Medicine, Health Sciences Centre, Kuwait University, Kuwait City, Kuwait.

Global spine journal

|August 3, 2024

概括

在大多数阿拉伯患者中, Occipitocervical 融合螺丝放置是可行的. 然而,雌性体对螺丝固定的适用性较低,这凸显了手术前规划的必要性.

科学领域:

神经外科神经外科
整形外科手术整形外科手术
人体解剖学解剖学解剖学

背景情况:

椎合是各种脊柱疾病的关键手术程序.
在尾囊中放置螺丝是某些聚变方法的关键技术.
了解尾的形态特征对于安全插入螺丝是必不可少的.

研究的目的:

在阿拉伯人群中分析尾的形态特征.
确定在这个人口群体中用于尾椎融合的尾尾螺杆放置的可行性.

主要方法:

一个回顾性,横截面研究,涉及200名阿拉伯患者 (400个孔底).
进行了基于计算机断层扫描 (CT) 的形态测量分析.
测量包括轴宽,冠状高度和螺丝角度,并定义了螺丝可行性的切断值.

主要成果:

平均轴状圆柱体宽度为8.5毫米,冠状高度为8.2毫米.
37.5%的圆柱体适合使用3.5毫米圆柱体螺丝.
相比于男性,女性体表现出较低的适应率 (不到一半).

结论:

在被研究的阿拉伯人群中,使用尾螺丝的尾合通常是可行的.
很大一部分雌性体不适合螺丝放置.
术前放射学评估对于优化螺丝放置和避免并发症至关重要.

关键词:

形态测量法形态测量法形态测量法头状囊的头状囊.部部融合的部部融合.腰椎的不稳定性腰椎不稳定性这是一只头的头.脊柱脊柱脊柱脊柱脊柱

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