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后椎体

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Methodsafter total decompression of the spinal nerve through posterior medline approach, discectomy of the slipping segment was performed with a circular saw with diameter of 1.0 centmeter. under direct visualization through the hole of the circular saw, the disc tissue including cartilage of upper and lower end plates was removed with a long handle curette.

方法后正中入路脊髓神经根彻底减压后,用直径1.0 cm环锯摘除滑脱椎体间的椎间盘,然后通过环锯孔直视下彻底清除椎间盘髓核组织,用长柄刮匙刮除椎体上下终板软骨,使骨面成鱼鳞状。

After initial strength and stiffness were determined, vertebral bodies were stabilized by bipedicular injection of 2, 4, 6, or 8ml ACPC and recompressed ibidem.

自8具尸体脊柱标本上截取24节胸腰段椎体,在前屈压缩载荷下造成骨折后,随机分成4组,分别经双侧椎弓根注入椎体2、4、6和8ml ACPC,再行前屈压缩。

The recoery rate was calculated as follows;(JOA score at follow up_preoperatie JOA score)/(17 _ preoperatie JOA score) _ 100,15 and the surgical outcomes were classified into four grades based on the calculated recoery rate; excellent: recoery rate 75% or higher, good: 50–75%, fair: 25–50%, and poor: lower than 25%. Ealuation was made on radiographic findings, including the range of motion and the jaw diameter (a measured line from the posteroinferior corner of the ertebral body to the anterior aspect of the subjacent lamina) at the adjacent leels in group A and the affected leels in group B and the spinal canal diameter at the C4 leel in both groups. The C4 leel was chosen for this measurement, because the spinal canal is usually narrowest at this leel.

恢复率如下计算;(随访JOA评分-术前JOA评分)/(17-术前JOA评分)*10015,按计算的恢复率将手术结果分4级;优:恢复率75%或更高,良:50-70%,中:25-50%,差:低于25%。X线片结果评价,包括活动范围和颌直径(从椎体下后角到下邻椎板前方的测量线)在A组相邻水平与B组受影响水平及两组C4水平椎管直径。C4作为该侧量的选择是因为通常在此平面椎管最为狭窄。

Results Mucopolysaccharidosis typeⅠ had characteristic X-ray changes of bones:①Enlarged skull and hook- shape Sella Turcica;②Short and thick phalanges and metacarpal Bones;③Dilated central part and thin ends of upper and lower limb bones;④Kyphosis deformity of spine, beak-shape stick out of anteroinferior margin of Kyphosis deformity vertebra;⑤Broadening ribs as paddle shape;⑥Shallow acetabulum and enlarged Acetabular Angle;⑦Prolonged femoral neck, Coxa Vara or coxa valga.

结果 粘多糖病Ⅰ型具有较典型的骨骼X线改变,(1)头大,蝶鞍呈乙型;(2)掌指骨粗短;(3)上、下肢骨中央膨胀两端变细;(4)脊椎后凸成角,后凸椎体前下缘成鸟嘴状突出,上下椎体呈卵圆形;(5)肋骨增宽呈船桨;(6)髋臼变浅,髋臼角增大;(7)股骨颈增长,髋内翻或外翻。

Methods Respectively analyzed the X-ray, CT and image post-processing manifestations of mucopolysaccharidosis type Ⅰ. Results Mucopolysaccharidosis typeⅠ had characteristic X-ray changes of bones:①Enlarged skull and hook- shape Sella Turcica;②Short and thick phalanges and metacarpal Bones;③Dilated central part and thin ends of upper and lower limb bones;④Kyphosis deformity of spine, beak-shape stick out of anteroinferior margin of Kyphosis deformity vertebra;⑤Broadening ribs as paddle shape;⑥Shallow acetabulum and enlarged Acetabular Angle;⑦Prolonged femoral neck, Coxa Vara or coxa valga.

结果 粘多糖病Ⅰ型具有较典型的骨骼X线改变,(1)头大,蝶鞍呈乙型;(2)掌指骨粗短;(3)上、下肢骨中央膨胀两端变细;(4)脊椎后凸成角,后凸椎体前下缘成鸟嘴状突出,上下椎体呈卵圆形;(5)肋骨增宽呈船桨;(6)髋臼变浅,髋臼角增大;(7)股骨颈增长,髋内翻或外翻。

Results The pathogenesis pathology of lumbar spinal canal stenosis:Lumbar posterior marginal cartilage node (67 cases,44.67%);Intervertebral disc calcification (45 cases,30%);Lumbar posterior marginal osteophytic formation(29 cases,19.33%);Post longitudinal ligaments calcification(9 cases,6%).

结果:导致椎管狭窄的原因有:椎体后缘软骨结节(67例,占44.67%);椎间盘钙化(45例,占30%);椎体后缘骨质增生(29例,占19.33%);后纵韧带骨化(9例,占6%)。

Results: MPR together with axial images could well display the entire picture of spondyloschisis and spinalcanal.

结果 多平面重建矢状面图像和轴位对18例31处椎弓崩裂均显示良好,轴位对裂隙骨赘、骨痂、纤维组织增生,椎间盘病变等征象显示清晰,正中矢状面重建对椎体滑脱,椎体撕裂或骨赘后突显示良好。

Results: MPR together with axial images could well display the entire picture of spondyloschisis and spinalcanal. Conclusion: Spiral CT together with MPR plays an important role in detecting spondyloschisis.

结果 多平面重建矢状面图像和轴位对18例31处椎弓崩裂均显示良好,轴位对裂隙骨赘、骨痂、纤维组织增生,椎间盘病变等征象显示清晰,正中矢状面重建对椎体滑脱,椎体撕裂或骨赘后突显示良好。

Methods In a retrospective study,the therapeutic effect of SKY-percutaneous kyphoplasty in 7cases (9 centrums ) of low back pain was analyzed.

经皮椎体后凸成形术治疗下腰痛患者7例,分析其术后疼痛改善情况、椎体高度恢复、后凸畸形纠正情况。

The combined cervicothoracic incison and sternotomy were performed for the exposure of the vertebral bodies, which were removed together with the herniated discs or the ossified posterior longitudinal ligaments, using the osteotomes and the air-drill. Fusion was done with the iliac bone graft.

手术取颈胸部联合切口,纵行劈开胸骨,显露颈胸段椎体,用切骨刀及气动球磨钻扩大开窗减压,去除椎体骨质、突出椎间盘或骨化的后纵韧带,取髂骨块行椎间植骨融合。

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