髂骨螺钉骨性通道毗连血管及神经的解剖学研究

doi:10.13418/j.issn.1001-165x.2018.03.003

Abstract

Abstract:

Objective　To observe the location of the pelvic vessels and nerves on the pelvic sides, measure the vertical distance from vessels and nerves to pelvic sides to give a light on the surgical procedures.　Methods　In accordance with the rules and regulations of the university, we used 12 embalmed cadaveric pelvises (6 male, 6 female) without any gross structural abnormalities to guarantee the conformity among anatomic measurement. All specimens underwent simulated surgery in the ventral decubitus. K-wire was drilled from the posterior superior iliac spine to the anterior inferior iliac spine and the spatial relation can be observed between the wire and the vessels and nerves. At last, the dangerous region on the pelvic wall can be located while the wire was drilled.　Results　The dangerous region was located on the lateral wall of pelvic and inguinal region. The K-wire may stick into acetabulum if the drilling angle is smaller. On the other hand, the obturator artery, obturator nerve and deep iliac circumflex artery will be injured while the drilling angle was larger or the screw is longer.　Conclusions　The screw can be implanted safely from posterior superior iliac spine to anterior inferior iliac spine with a suitable drilling angel and length. Importantly, the dangerous region is located on the lateral wall of pelvic and inguinal region.

Key words: Applied anatomy;　Ilium screw;　Pelvic morphometry;　Spinal-pelvic instrumentation; , Operation

SHENG Wei-chao, GAO Yan-zheng，ZHONG Shi-zhen. Applied anatomy for transiliac screws: adjacent vessels and nerves in the pelvis[J]. Chinese Journal Of Clinical Anatomy, 2018, 36(3): 248-251.

References

[1] 胡资兵, 曾荣，魏波，等. 髂骨螺钉联合磷酸钙骨粉在腰骶椎结核中的应用[J]. 中国临床解剖学杂志，2015，33(3):349-353.
[2] Chiu FY, Chen CM, Lo WH. Surgical treatment of displaced acetabular fractures-72 cases followed for 10(6-14)years[J]. Injury, 2000, 31(3):181-185.
[3] 桑锡光, 张立平，刘海春，等. 腰椎-髂骨固定的临床解剖学研究[J]. 中国临床解剖学杂志，2007，25(2):156-159.
[4] 杨运平，陈鸿奋，王富明，等. 椎弓根钉-髂骨钉系统内固定治疗骶髋关节脱位的CT 影像解剖学研究[J]. 中国临床解剖学杂志，2012，30(4):404-407.
[5] Starr, Adam J. Walter, James C. Harris, Robert W et al. Percutaneous Screw Fixation of Fractures of the Iliac Wing and Fracture-dislocations of the Sacro-iliac Joint (OTA Types 61-B2.2 and 61-B2.3, or Young-Burgess “Lateral Compression Type II” Pelvic Fractures) [J]. J Orthop Trauma，2002, 16(2):116–123.
[6] Schildhauer TA, McCulloch P, Chapman JR, et al. Anatomic and radiographic considerations for placement of transiliac screws in lumbopelvic fixations [J]. J Spinal Disord Tech, 2002, 15(3):199-205.
[7] 郑召民, 陈辉, 吕游. 成人髂骨钉钉道的影像学研究[J]. 中华骨科杂志, 2007, 27(8): 586-589.
[8] Nakao A, Sakagami K, Mitsuoka S, et al. Retroperitoneal hematoma associated with femoral neuropathy; A complication under antiplatelets therapy[J]. Acta Medica Okayama, 2001，55(5):363-366.
[9] Marquardt G, Barduzal Angles S, Leheta F, et a1. Spontaneous haematoma of the iliac psoas muscle; a case report and review of the literature[J]. Arch Orthop Trauma Surg, 2002, 22(2):109-111
[10]Tamai K, Kuramochi T, 5akai H, et al. Complete paralysis of the quadriceps muscle caused by traumatic iliacus hematoma: a case report[J]. J Orthop Sci, 2002, 7(10):713-716.

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Applied anatomy for transiliac screws: adjacent vessels and nerves in the pelvis

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