C2脊椎:对于年轻的脊椎/神经外科医生来说是一个
Mayank Garg1, Raghavendra K Sharma1, Vikas Janu1
1Department of Neurosurgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Journal of neurological surgery. Part B, Skull base
|January 30, 2025
概括
使用中线后部方法固定椎结节对神经外科医生来说是个挑战. 这项研究确定了最佳的螺丝布置走廊,特别是对于先天性异常,改善了手术安全性和结果.
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:
- 由于复杂的解剖学和接近神经血管结构,C2脊椎仪器对神经外科医生来说具有挑战性.
- 脊节 (CVJ) 固定的中线后部方法需要精确的解剖学理解.
- 神经放射学方面的进步有助于CVC仪器的手术规划.
研究的目的:
- 描述C2脊椎仪器仪表中中线后部方法的关键手术见解.
- 确定安全有效的螺丝插入走廊,用于脊节 (CVJ) 固定.
- 解决C2仪器仪表方面的挑战,特别是患有先天性异常的患者.
主要方法:
- 通过中线后方方法对经历心关节固定的患者进行92次计算机断层扫描血管图 (CTA) 的评估.
- 解剖学标志和螺丝插入部位的分析,用于椎结 (CVJ) 固定.
- 在过去四年中,审查了涉及各种心关节疾病的手术病例.
主要成果:
- CTA揭示了多种CVJ病理,包括创伤性,先天性和类风湿性关节炎病例.
- 发现用于螺丝插入的标准地标对于先天异常的心关节疾病是不安全的.
- 最佳的螺丝布置侧重于通道中部到脊椎动脉孔,用于关节间和脚螺丝.
结论:
- 骨段中点与脊椎动脉孔隙之间的中间点对于安全的关节间关节,关节间关节和脚螺杆放置至关重要.
- 对于层状螺丝,在每个侧面穿过片面的中点,可以确保正确的固定.
- 精细的解剖学准提高了C2脊椎仪器仪表的安全性和有效性,特别是在复杂的情况下.
相关概念视频
Vertebral Column: Regions and Curvature
8.6K
The vertebral column or spine is a flexible column that supports the head, neck, and body and allows for their movements. It also protects the spinal cord.
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
8.6K
General Structure of a Vertebra
7.5K
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...
7.5K
Articulations of the Vertebral Column
3.5K
In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
3.5K
Spinal Cord: Gross Anatomy
6.3K
The spinal cord resides within the protective confines of the vertebral column. It is the main pathway for information traveling between the brain and the body. It plays a fundamental role in nearly all bodily functions, from simple reflexes to complex motor movements. The spinal cord begins at the medulla oblongata at the base of the brainstem and extends downward, terminating at the conus medullaris near the first and second lumbar vertebrae. The spinal cord's length in adults is...
6.3K
Spinal Cord: Cross-sectional Anatomy
5.7K
The cross-sectional anatomy of the spinal cord offers a detailed view of its complex structure and function within the central nervous system. At the core of the spinal cord lies the gray matter, characterized by its butterfly or "H"-shaped appearance in cross-section. This central region is enveloped by white matter, with the overall structure divided into symmetrical halves by the dorsal median sulcus and the ventral median fissure.
Gray Matter and its Components
Central to the gray matter is...
Gray Matter and its Components
Central to the gray matter is...
5.7K
Spinal Nerves: Anatomy
12.0K
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...
12.0K


