后椎体

Results In 84 cases of nerve root type,stenosis was found in 438 intervertebral foramen,of which C6～7 and C5～6 intervertebral foramen stenosis accounted for 79.6%.The causes of intervertebral foramen stenosis were uncinate process articulation hyperosteogeny,intervenebral disc protrusion,vertebral body hypertrophy,zygapophysis hyperosteogeny and dislocation etc.40 cases of vertbral artery type manifested that vertbral artery became slim and deviousness as a result of the compression of vertbral artery （20.7%） by osteophyte.22 cases of myeloid type manifested with cervical spinal canal stenosis,hyperosteogeny of posterior vertebral body edge,posterior longitudinal ligament calcification and cervical intervertebral disc protrusion etc.

结果 84例神经根型中，发现椎间孔狭窄438处，其中C5～6和C6～7椎间孔狭窄占79.6%，椎间孔狭窄的成因有钩突关节骨质增生、椎间盘突出、椎体肥大、小关节突骨质增生、错位等；40例椎动脉型表现为骨赘压迫椎动脉（52.5%），导致椎动脉变细、粗细不均和椎动脉迂曲。22例脊髓型表现为颈椎椎管狭窄、椎体后缘骨质增生、后纵韧带钙化、椎间隙狭窄和颈椎间盘突出等。

Art of figuration of the protruding after classics skin centrum (Percutaneous Kyphoplas-ty, PKP) is to be in art of figuration of classics skin centrum (Percutaneous Ver-tebroplasty, the technology of small innovation of surgery of a rachis that the development on the foundation of PVP) rises, its fundamental is the buy inside preexistence centrum enters but expansile ball bursa , the dilate that carries ball bag forms a cavity inside centrum, again infuse stuff stuff, correct deformation thereby, achieve constrictive to a few osteoporosis or tumour centrum that bring about fracture (Vertebral Compressionfractures, the remedial purpose of VCFs).

梗概： 经皮椎体后凸成形术(percutaneous kyphoplas-ty，PKP)是在经皮椎体成形术(percutaneous ver-tebroplasty，PVP)的基础上发展起来的一项脊柱外科微创新技术，其基本原理是先在椎体内置入一个可膨胀性球囊(inflatable bone tamp，IBT)，通过球囊的扩张在椎体内形成一个空腔，再注入填充材料，从而纠正畸形，达到对一些骨质疏松或肿瘤等导致的椎体压缩性骨折(vertebral compressionfractures，VCFs)的治疗目的。

Polymethyl methacrylate is the most used filling materials at present; There is not significant difference between unipedicular and bipedicular vertebroplasty; Using vertebral body venography and appropriate dense bone cement can reduce leakage of bone cement; Bolster for self-replacement can rebound vertebral body height, and balloon kyphoplasty and sky bone expander kyphoplasty can be avoided; In order to reduce refracture of vertebral body, anti-osteoporosis drugs should be used in the treatment of percutaneous vertebroplasty.

聚甲基丙烯酸甲酯是目前最常用的填充物；单侧注射和双侧注射疗效没有明显差别；应用对比剂及掌握合适的骨水泥黏稠度可以减少骨水泥的渗漏率；成形前腰部垫枕自身复位可以恢复椎体的高度，避免采用操作复杂及价格昂贵的球囊后凸成形及骨膨胀椎体后凸成形；进行经皮椎体成形时应该配合应用抗骨质疏松药物，以减少椎体再骨折的发生。

The screw entry point was located at the tip of transverse process. The average inclination angle should be 10°-20° headward and 30°-40° toward neutral line respectively. The screw was inserted and entered into the vertebral body along the external cortex of pedicle. The integrity of cortical bone around screws, the distance to segmental blood vessels and the penetration of cortex were observed after operation to evaluate the accuracy and safety of screw placement. Among 160 thoracic pedicle screws that were implanted in 34 cases, 148 screws (92.5%) were accurately inserted inside the costotransverse unit, and 12 screws (7.5%) were misplaced according to the image of X-ray and CT thin-slice scan.

应用椎弓根外内固定技术2004/2007年在中山大学附属第三医院骨科治疗34例患者，固定前采用CT加密扫描测量进钉点、进钉点至椎体前缘的深度、进钉角度和直径，固定中椎弓根钉入点为横突尖，进钉方向为平均向头侧倾斜10°~ 20°、与中线成角30°~40°，顺椎弓根外侧皮质进入椎体，固定后CT加密扫描观察螺钉周围的皮质骨是否完整、是否靠近节段血管、是否穿透皮质骨，评价置入钉的准确性和安全性。34例患者共置入160枚胸椎椎弓根螺钉，固定后CT加密扫描和X射线片观察到148枚(92.5%)螺钉置入准确，12枚(7.5%)螺钉发生错置。

From 2004 to 2007, 34 cases were treated with extrapedicular screw fixation in Department of Orthopaedics, Third Affiliated Hospital of Sun Yat-sen University. The screw entry point, angle, depth and diameter were measured and defined on the thoracic vertebrae pedicle by CT thin-slice scan in standard prone for all cases before operation. The screw entry point was located at the tip of transverse process. The average inclination angle should be 10°-20° headward and 30°-40° toward neutral line respectively. The screw was inserted and entered into the vertebral body along the external cortex of pedicle. The integrity of cortical bone around screws, the distance to segmental blood vessels and the penetration of cortex were observed after operation to evaluate the accuracy and safety of screw placement.

应用椎弓根外内固定技术2004/2007年在中山大学附属第三医院骨科治疗34例患者，固定前采用CT加密扫描测量进钉点、进钉点至椎体前缘的深度、进钉角度和直径，固定中椎弓根钉入点为横突尖，进钉方向为平均向头侧倾斜10°~20°、与中线成角30°~40°，顺椎弓根外侧皮质进入椎体，固定后CT加密扫描观察螺钉周围的皮质骨是否完整、是否靠近节段血管、是否穿透皮质骨，评价置入钉的准确性和安全性。34例患者共置入160枚胸椎椎弓根螺钉，固定后CT加密扫描和X射线片观察到148枚(92.5%)螺钉置入准确，12枚(7.5%)螺钉发生错置。

Improements in ertebral height and kyphotic angle were consistently reported with balloon kyphoplasty and in a small number of ertebroplasty case series.

球囊扩张椎体后凸成形术的研究和一个小样本的椎体成形术的病例研究都报道了对于椎体高度和后凸角的改善。

Strut-graft with an appropriate distraction after corpectomy plays an important role not only in regain and maintain the cervical spine lordotic curvatures but also in acquire the global immediate stability of the cervical spine. After single vertebra corpectomy, the proper range of distraction between the superior and inferior vertebra maybe among 4-6 millimeters.

中下颈椎单椎体次全切除减压后，适当高度的撑开植骨对恢复和维持颈椎曲度以及手术节段的即刻稳定性有重要作用，中下颈椎单椎体次全切除减压后支撑植骨的高度应该是在手术椎体的上位和下位椎体间高度的基础上再撑开4～6mm左右。

The risk of a new adjacent vertebral fracture was 2.5-fold higher than the risk of a new nonadjacent vertebral fracture (4.03% compared with 1.59%).

结果：1226例未经药物治疗的绝后骨质疏松妇女被纳入本研究对象，在两年的随访中发现196 (16.0%)例患者出现292处新的新鲜椎体骨折，在1226例研究对象中在原椎椎体骨折邻近再发生骨折患者人数为108(8.8%)。292处新鲜椎体有136(47%)处为原椎体骨折邻近椎体再次骨折。

Percutaneous kyphoplasty is an effective minimal invasive technology,which can rapidly remit the low back pain caused by the senile osteoporosis vertebral compression fracture,reforce the intensity of the vertebral body and stabilize the spine.

经皮椎体后突成形术是治疗老年骨质疏松性椎体压缩骨折的微创手术，能够有效缓解骨质疏松性椎体骨折引起的疼痛，维持椎体稳定性，恢复椎体的高度，是一种简单、安全、有效的新方法。

Percutaneous kyphoplasty is an effective minimal invasive technology,which can rapidly remit the low back pain caused by the senile osteoporosis vertebral compression fracture,reforce the intensity of the vertebral body and stabilize the spine.

经皮椎体后突成形术是一种治疗老年骨质疏松性椎体压缩骨折的微创手术，能够有效缓解骨质疏松性椎体骨折引起的疼痛，维持椎体稳定性，恢复椎体的高度，是一种简单、安全、有效的新方法。

Lugalbanda was a god and shepherd king of Uruk where he was worshipped for over a thousand years.

Lugalbanda 是神和被崇拜了一千年多 Uruk古埃及喜克索王朝国王。

I am coming just now,' and went on perfuming himself with Hunut, then he came and sat.

我来只是现在，'歼灭战perfuming自己与胡努特，那麼，他来到和SAT 。