阴茎形态和安全工作区的相关性 侧腰椎间体融合的安全工作区
Gun Keorochana1, Nuttakiat Chaibanjongwat1, Chaiwat Kraiwattanapong1
1Departments of Orthopaedics.
Clinical spine surgery
|October 30, 2025
概括
较低的阴茎峰高度和较高的阴茎峰斜率与更广泛的安全工作区域和后腰椎位相关. 这些解剖学变异适合在L4-L5.5处进行侧侧腰间体融合 (LLIF).
科学领域:
- 脊柱外科手术 脊柱外科手术
- 解剖成像 解剖成像 解剖成像
- 放射学 放射学是一门学科.
背景情况:
- 侧腰间体融合 (LLIF) 提供了优势,但由于患者的解剖学,会带来风险.
- 阴茎形态变异可以影响神经血管结构的接近.
- 了解这些变异对于手术安全至关重要.
研究的目的:
- 用平面放射图来评估阴茎顶的高度和斜率.
- 为了将这些测量与MRI上的安全工作区 (SWZ),腰椎和腹腔血管相关联.
- 根据下脊形态来确定对LLIF的解剖适应性.
主要方法:
- 从98名患者的腰部放射和核磁共振成像的回顾性审查.
- 阴茎顶的高度 (高/低) 和斜率 (高/低) 的分类.
- 在MRI上评估SWZ,腰位置 (Moro区域) 和L4-L5斜走廊.
主要成果:
- 较低的阴茎顶高度 (LICH) 与显著更宽的左侧SWZ有关.
- 高脊高度 (HICH) 与较后腰椎的位置相关 (摩洛区域II和IV).
- 较高的阴茎顶斜率 (HICS) 显示出更宽的SWZ和更后后的左侧腰椎位.
结论:
- 较低的阴茎峰高度和较高的阴茎峰斜率与扩大的SWZ和后腰有关.
- 这些特定的阴茎形态有利于执行L4-L5LLIF.
- 阴茎形态的放射性评估可以为LLIF的手术规划提供信息.
相关概念视频
Anatomical Positions
In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
Vertebral Column: Regions and Curvature
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 the...
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 the...
General Structure of a Vertebra
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 column.
Abdominal Regions and Quadrants
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
Muscles of the Abdomen
The abdominal wall encircles the abdominal cavity, providing flexible protection and shielding the internal organs from harm. It is bordered at the top by the xiphoid process and costal margins, at the back by the vertebral column, and at the bottom by the pelvic bones and inguinal ligament. The abdominal wall is divided into two regions — the anterolateral and posterior regions.
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and anterior...
Anterolateral Region
The anterolateral region comprises five paired muscles classified into the lateral and anterior...
Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...


