目的 测量人体腰椎横突的各结构参数并分析其与个体身高的相关性，为新型脊柱矫正系统设计提供解剖学依据。 方法 搜集60例不同身高患者（男、女各30例）的腰椎CT影像，通过Mimics软件三维模型重建并测量记录椎体横突的长度、宽度、厚度、冠状面角度、水平面角度等参数，利用SPSS22.0软件对各参数与身高进行Pearson或Spearson相关性分析。 结果 L1、L3、L4的宽度及L1厚度与身高的r值在0.4~0.6之间，L2的宽度及L2、L3、L4的厚度与身高的r值在0.6~0.8之间，L2的横突长度、L5横突长度及宽度与身高的r值在0.2~0.4之间。 结论 L1~4横突的宽度和厚度与个体身高具有相关性，横突的长度与身高相关性较弱，横突的水平面角、冠状面角与身高则无明显相关性。
Abstract
Objective To measure the structural parameters of transverse process of lumbar spine and analyze the correlation between those parameters and individual height, which providing anatomic basis for the design the improved spinal correction system. Methods CT images of lumbar spine in 60 patients (30 cases in male and 30 cases in female) with different height were collected, then three dimensional models of vertebral for the 60 patients were reconstructed by Mimics software. By these models, the length, width, thickness, coronal angle and horizontal plane angle of vertebral transverse process were measured and recorded. Spearson correlation analysis was performed by SPSS22.0 to understand the correlation between transverse process parameters and height. Results The correlation coefficient r value of the length of L2, L5 and the thickness of L5 were between 0.2~0.4. The correlation coefficient r value of the width of L1, L3 ,L4 and the thickness of L1 were between 0.4~0.6. The correlation coefficient r value of the thickness of L2, L3 ,L4 and the width of L2 were between 0.6~0.8. Conclusions The width and thickness of L1~4 transverse process are positively correlated with height. The length of transverse process is weakly correlated with height. While the horizontal angle and coronal angle of transverse process has no significant correlation with height.
关键词
横突参数 /
身高 /
相关性 /
Mimics19.0 /
新型脊柱矫正系统
Key words
Transverse process parameters /
Height /
Correlation /
Mimics19.0 /
Improved spine correction system
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 陆晓生, 黄湄景, 赵劲民. 脊柱畸形手术治疗现状与方向[J]. 中国矫形外科杂志, 2015, 23(03): 239-241. DOI: 10. 3977 /j. issn. 1005-8478. 2015. 03. 10.
[2] Bredow J, Boese CK, Werner CM, et al. Predictive validity of preoperative CT scans and the risk of pedicle screw loosening in spinal surgery[J]. Arch Orthop Trauma Surg, 2016, 136(8): 1063-7. DOI: 10.1007/s00402-016-2487-8.
[3] Dubousset J. Reflections of an orthopaedic surgeon on patient care and research into the condition of scoliosis[J]. J Pediatr Orthop, 2011, 31: S1-S8. DOI：10.1097/BPO.0b013e3181f73beb.
[4] Ghiselli G, Wang JC, Bhatia NN, et al. Adjacent segment degeneration in the lumbar spine[J]. J Bone Joint Surg Am , 2004, 86(7): 1497-503. DOI：10.2106/00004623-200407000-00020.
[5] 严斌, 孙永建, 欧阳汉斌, 等. 3D打印导航模块辅助腰椎椎弓根螺钉精确植入的应用研究[J]. 中国临床解剖学杂志, 2017, 35(02): 156-159. DOI：10.13418/j.issn.1001-165x.2017.02.008.
[6] 陆晓生. 新型脊柱矫正系统的研制及相关研究[D]. 广西医科大学, 2017.
[7] 陆晓生, 黄湄景, 赵劲民. 新型脊柱畸形矫正系统的研发及应用前景[C]. //2014广西医学会骨科学分会学术年会论文集, 广西贵港, 2014.
[8] Csernátony Z, Goodship A, Szepesi K, et al. A complementary thoracic implant for the surgical correction of the scoliotic curve. A preliminary report[J]. Springer-Verlag, 2001, 11(2). DOI:10.1007/BF01682483.
[9] Csernátony Z, Molnár S, Hunya Z, et al. Biomechanical examination of the thoracic spine-the axial rotation moment and vertical loading capacity of the transverse process[J]. J Orthop Res, 2011, 29(12): 1904-9. DOI:10.1002/jor.21478.
[10] Csernátony Z, Kiss L, Manó S, et al. Our experience and early results with a complementary implant for the correction of major thoracic curves[J]. Eur Spine J, 2013, 22(6): 1286-91. DOI:10.1007/s00586-013-2698-4.
[11]赵得志, 赵建武, 曲扬, 等. 腰椎K-rod弹性内固定系统与刚性内固定系统体外应力遮挡效应的对比分析[J]. 大家健康(学术版), 2015, 9(7): 125-128.
[12]李放. 非融合技术是治疗腰椎退变疾病的一种选择[J]. 中国脊柱脊髓杂志, 2014, 24(10): 871-872.DOI：10.3969/j.issn.1004-406X. 2014. 10. 005.
[13]张阳, 李放. 腰椎经椎弓根后路非融合技术研究进展[J]. 脊柱外科杂志, 2014, 12(1): 55-58.DOI: 10.3969/j.issn.1672-2957.2014.01.012.
[14]李伟剑, 隆振学, 梁栋柱, 等. 脊柱改良横突钩棒系统的生物力学研究[J].中国矫形外科杂志, 2019, 27(11): 1025-1029.DOI: 10.3977/j.issn. 1005-8478.2019.11.14.
[15]李兵, 姜保国, 傅中国, 等. 腰椎横突形态学研究[J]. 中国骨肿瘤骨病, 2003, 2(2): 94-97.DOI: 10.3969/j.issn.2095-252X.2003.02.008.
[16]陈世忠, 韦以宗, 林远方, 等. 腰椎横突“三长、四翘、五扁”形成年龄的影像学调查报告[J]. 颈腰痛杂志, 2020, 41(1): 107-108. DOI: 10.3969/j.issn.1005-7234.2020.01.035.
[17]Williams PL.格氏解剖学[M]. 沈阳: 辽宁教育出版社，1999. 536．
[18]吴建贤, 王斌, 石淑霞. 下腰痛生物力学特点的研究进展[J]. 中华临床医师杂志(电子版), 2014, 8(24): 4449-4453.DOI: 10.3877/cma.j.issn.1674-0785.2014.24.029.
[19]付裕, 李筱贺, 霍洪军, 等. 三维数字化手术设计在青少年特发性脊柱侧凸个性化手术中应用[J]. 中国临床解剖学杂志, 2015, 33(6): 706-711. DOI：10.13418/j.issn.1001-165x.2015.06.019.
[20]肖进, 尹庆水, 张美超, 等. 脊柱侧凸的数字化三维重建及临床应用[J].中国临床解剖学杂志, 2008, 26(5): 494-496. DOI: 10.3969/j.issn. 1001-165X.2008.05.008.
基金
广西科技研究与技术开发计划项目(桂科合 14123001-24)
PDF(2323 KB)
京ICP备08002354号-3
