一个尸体研究:在使用T-12体检模型的远侧接近过程中,胸腔关节的重要器官之间的关系
Gerrit Lewik1,2,3, Clifford Pierre1,2, James W Hicks1,2
1Swedish Neuroscience Institute, Swedish Medical Center, Seattle, WA, USA.
Global spine journal
|December 4, 2024
概括
这项研究评估了在尸体中T12-corpectomy的远侧面方法. 该程序证明了可行性,没有隔膜或神经血管损伤,只有轻微的膜损伤.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 人体解剖学 解剖学 解剖学
- 外科手术的方法
背景情况:
- T12-corpectomy是一种复杂的脊柱手术.
- 对于脊柱减压和融合,越来越多地寻求最少的侵入性手术方法.
- 远侧的方法提供了潜在的优势,但需要仔细评估相邻的重要结构.
研究的目的:
- 在T12-corpectomy中使用远侧向方法量化和定性地评估重要结构的近距离.
- 在这个手术技术中识别和测量关键解剖元素的任何损伤.
- 评估T12-corpectomy的远侧向方法的安全性和可行性.
主要方法:
- 人类尸体研究涉及六个新鲜冷的成年标本.
- 标准化的左侧远侧T12-corpectomy和子 (T11-L1) 植入.
- 通过结节切除和结节切除进行前部检查,以识别和测量对重要结构的接近,包括隔膜,多叶膜和神经血管.
主要成果:
- 在任何标本中都没有观察到隔膜或神经血管损伤.
- 预期的,有限的状膜损伤发生,没有内脏膜损伤.
- 隔膜外游被量化,并描述了它的脊柱起源.
结论:
- 远侧面的方法是T12-corpectomy的一个可行的技术.
- 这种方法可以在不损害隔膜或主要神经血管结构的情况下进行.
- 这项研究证实,在这种方法下,预计会出现有限的肺损伤.
相关概念视频
01:17The Thoracic Cage: Sternum
The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid process.
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid process.
01:20The Thoracic Cage: Ribs
Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal facet...
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal facet...
01:25Muscles of the Thorax
The thorax muscles are central to the body's respiration and provide essential support and movement for the upper body. They are intricately designed to facilitate the complex breathing process while also contributing to the structural integrity and mobility of the chest and upper limbs.
The diaphragm is at the core of thoracic musculature, the primary muscle involved in breathing. This expansive, dome-shaped muscle marks the division between the thoracic and abdominal cavities. It originates...
The diaphragm is at the core of thoracic musculature, the primary muscle involved in breathing. This expansive, dome-shaped muscle marks the division between the thoracic and abdominal cavities. It originates...