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In addition to two l-z joints, the medial branches also innervate the multifidus muscle, the interspinous muscle and ligament, and the periosteum of the neural arch.7,28–30 The L5 nerve differs in that it is the dorsal ramus itself that runs along the junction of the sacral ala and superior articular process of the sacrum.29,31 Its medial branch arises opposite the inferolateral corner of the base of the lowest facet joint.

除了l-z关节以外，内侧支还支配多裂肌，棘间肌和韧带以及椎弓处的骨膜。L5神经有所不同，其背侧支本身走行于髂骨翼和髂骨的上关节突。其内侧支在最低关节囊的基底部下外侧角的对面发出。

Fracture of the intercondylar eminence of the tibia: a review of 35 patients .

膝关节镜下多种钢丝固定方法治疗胫骨髁间棘骨折。

Methods selective and limited minimally invasive debridement under arthroscope was applied to 54 patients with osteoarthritis of knee joint; hyperplasia of inflammatory synovial membrane and abrasion of anterior cruciate ligament were chipped or vaporized with radiofrequency, the corpus liberum were taken out, cartilage was scoured into certain shape; excision or partial excision were performed to hyperplastic intercondyloid spine, osteophyma and menisci; intercondyloid fossa was formed.results 45 cases were followed up for an average of 18 months (from 6 months to 24 months); the clinical symptoms of most cases released obviously and the joint function improved.conclusions minimally invasive debridement under arthroscope can effectively release oa symptoms, improve joint function and raise the quality of life.

对54例膝关节骨性关节炎患者进行关节镜下选择性、有限化微创清理术。手术内容包括刨削或射频汽化增生的炎性滑膜组织和前交叉韧带磨损、游离体取出、软骨打磨成形、增生髁间棘切除、部分骨赘切除、半月板部分切除、髁间窝成形。结果随诊45例，平均18个月（6～24月），大多数患者临床症状明显缓解，关节功能改善。结论关节镜微创清理术可有效缓解oa症状，改善关节功能，提高生活质量。骨关节炎；膝关节；关节镜检查

The gonad characteristics of F1 progeny crossed by sea urchin Strongylocentrotus intermedius and S. nudus were described and compared with S. intermedius.

对中间球海胆与光棘球海胆杂交F1代的生殖腺特征进行了研究，并与母本中间球海胆进行了比较。

This article uses the model is lumbar vertebra L3~L4, as well as the interspinal implants thing X-STOP.

本文所使用的模型是腰椎L3~L4，以及棘突间植入物X-STOP。

The analysis method is carries on the finite element grid division to X-STOP, under exerts the restraint and the load in above, calculates the restraining stress, thus judges this interspinal to open whether to have the obvious effect.

分析方法是对X-STOP进行有限元网格划分，在其上下面施加约束与载荷，计算出收敛应力从而判断此棘突间撑开器是否有明显功效。

The patients were divided into a needie-knife treatment group treated with needle-knife therapy at the upper and lower interspinal ligaments of the affected vertebral body and bilateral posterior joint capsules; and the acupuncture control group were treated with acupuncture at Laozhen, Ashi points and cervical Jiaji points, etc.

采用多中心临床随机对照试验方法，将患者分为针刀治疗组（在患椎上下棘间韧带和两侧后关节的关节囊处行针刀治疗）与针刺对照组（穴取落枕、阿是穴、颈夹脊等），在疗程结束时和治疗结束后6个月分别统计近、远期疗效。

The spinal column reconstruction in the interspinal implants in thing X-stop finite element analysis application Abstract along with people age unceasing growth, between awl in plate the nucleus pulposus gradually will start to degenerate withered, causes between the awl plate thickness to reduce, will then create the yellow ligament and the small surface joint is large, will initiate the so-called lumbar vertebra narrow sickness, will cause the body to have the nerve intermittent slope good symptom.

脊柱重建在棘突间植入物X-stop有限元分析中的应用摘要随着人们年龄的不断增长，锥间盘里的的髓核就会逐渐开始干枯退化，造成锥间盘厚度减小，进而造成黄韧带和小面关节肥大，以至于引发所谓的腰椎狭窄症，造成身体产生神经间歇性坡行症状。

Solves this symptom method to divide into the surgery and the non-surgery treats, the non-surgery treats for example the physical property treatment and the pharmacological treatment, the effect is not often good, the surgery treats may divide into the traditional surgery and micro creates the surgery two kinds, the traditional surgery method is in the lumbar vertebra fusion the pexia, although this method excised has created the lumbar vertebra narrow yellow ligament and the small surface joint, but the surgery time was long, the wound was big as well as although the lumbar vertebra fusion and fixed has removed the pathological change stage abnormal movement, but the neighbor stage's abnormal movement increased, between the awl in plate's pressure elevated obviously, the small articular process exceptionally drew back changes with the fixed stage bone quantityThe loss, causes the fixed stage vertical motion stage to draw back changes ASD[1], but new micro creates the surgery is opens a small wound in the back, and implants the interspinal to open, then solution lumbar vertebra narrow sickness question.

解决此种症状的方法分为手术及非手术治疗，非手术治疗例如物理性治疗和药物治疗，往往效果不佳，手术治疗又可分为传统手术和微创手术二种，传统手术方法就是腰椎融合内固定术，虽然此种方法切除了造成腰椎狭窄的黄韧带和小面关节，但手术时间长，伤口大以及腰椎的融合和固定虽去除了病变节段的异常活动，但邻近节段的异常活动增加，锥间盘内的压力明显升高，小关节突的异常退变和固定节段的骨量丢失，导致固定节段上下运动节段的退变ASD[1]，而新型的微创手术是在背部开一个小伤口，并植入棘突间撑开器，进而解决腰椎狭窄症的问题。

Objective. Evaluation of vertebral augmentation combined with interspinous decompression procedure in the same sitting.

目的：评估椎体加强术联合棘突间减压装置在同一病例中的应用。

Plunder melds and run with this jewel!

掠夺melds和运行与此宝石！

My dream is to be a crazy growing tree and extend at the edge between the city and the forest.

此刻，也许正是在通往天国的路上，我体验着这白色的晕旋。