S1背孔:解剖学的细微差别
Christin Tiegs-Heiden1, Joel Talsma2, Frank Willard2
1Department of Radiology, Mayo Clinic, Rochester, MN, USA.
Interventional pain medicine
|September 6, 2024
概括
进入背部S1神经孔可能是困难的,因为一个骨. 建议采用侧斜轨迹,以改善进入S1孔的途径.
科学领域:
- 人体解剖学 解剖学 解剖学
- 放射学 放射学是一门学科.
- 神经外科 神经外科
背景情况:
- 背部S1神经孔的进入是一种常见的神经外科手术程序.
- 由于解剖学变异,这种访问可能在技术上具有挑战性.
研究的目的:
- 描述背部S1神经孔的以前未经记录的解剖细节.
- 为了识别可能阻碍手术接入的骨边.
主要方法:
- 从27个标本中解剖49个S1的尸体.
- 来自50个数据集的100个S1孔的CT成像.
- 在PA和ipsilateral斜视图中量化前和侧边尺寸.
主要成果:
- 在背部S1孔隙的中间方面观察到一个可变的骨边.
- 这个边缘平均为2.8毫米,遮住了长孔的三分之一.
- 扫描图像显示孔隙横向尺寸从6.23毫米 (PA) 增加到7.90毫米 (两侧斜).
结论:
- 在背部S1孔口的骨边可以阻碍进入.
- 这个边缘可能很难用光镜可视化.
- 一个侧斜轨迹针对侧侧孔隙边缘优化了访问.
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