大尾神经与轴之间的解剖关系:是否可以安全地插入皮肤C2螺丝,而不会引起尾神经疼痛?
Anhelina Khadanovich1,2, Michal Benes1,2,3, Radek Kaiser1,2,4,5
1Department of Anatomy, Second Faculty of Medicine, Charles University, Prague , Czech Republic.
Operative neurosurgery (Hagerstown, Md.)
|July 3, 2025
概括
对于C2螺丝插入的最小侵入性手术,可能会造成更大的尾神经 (GON) 损伤. 这项研究发现,GON经常覆盖C2关节间部分,推尾巴入口点和导航以防止尾神经疼痛.
科学领域:
- 神经外科 神经外科
- 人体解剖学 解剖学 解剖学
背景情况:
- 哈姆斯的技术是亚特兰大轴向稳定的标准.
- 对于C1-C2螺杆插入的最小侵入性手术 (MIS) 正在出现,但对神经结构构成风险.
- 大尾神经 (GON) 在C2脚螺杆放置时易受伤害,可能导致尾神经疼痛.
研究的目的:
- 为了研究大尾神经 (GON) 和轴 (C2脊椎) 之间的解剖关系.
- 评估在微创手术中C2脚螺丝插入过程中GON损伤的风险.
主要方法:
- 用甲包装的八个尸体标本的剖析.
- 详细描述GON相对于轴的位置.
主要成果:
- 在GON的第一个曲的顶部位于3.9毫米从侧面C2关节间部分 (IAP) 和10.5毫米尾部到上侧面关节.
- GON顶峰位于C2 IAP表面以上3.5毫米.
- C2 IAP 的宽度为 14.2 毫米,高度为 15.9 毫米.
结论:
- GON经常覆盖C2 IAP的上方三分之二,并且可能会交叉C2螺丝入口点.
- 为了减轻MIS期间的GON损伤,外科医生应该利用最尾部的螺丝入口点,并为更的头骨角度使用导航.
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