棘突

For ALIF, this ranged from 0.8 (complete, 100% fusion) to 3.3 (solid fusion of the posterior 25% disc space). For PLIF, the numbers were more aried, ranging from 0.7 (complete, 100% fusion) to 6.9 (solid fusion of posterior 25% disc space with bilateral facetectomy). For intertranserse process fusion, the least motion was with a solid bilateral fusion, with medial healing to the pars (2.0); the greatest motion was found with a solid unilateral fusion without medial healing (6.0). Interspinous process fusion allowed only 1.9 of motion.

前路椎间融合，范围是0.8度（完全、100%融合）到3.3度（后方椎间隙25%的稳定融合）；后路椎间融合范围较大，是0.7度（完全、100%融合）到6.9度（伴有双侧峡部近内侧融合的后方椎间隙25%的稳定融合）；横突间植骨融合，最小值2.0度是双侧偏内侧稳定融合，最大值6.0度是单侧且不偏向内侧融合；椎板棘突间植骨融合只出现1.9度的活动度。

For ALIF, this ranged from 0.8 (complete, 100% fusion) to 3.3 (solid fusion of the posterior 25% disc space). For PLIF, the numbers were more varied, ranging from 0.7 (complete, 100% fusion) to 6.9 (solid fusion of posterior 25% disc space with bilateral facetectomy). For intertransverse process fusion, the least motion was with a solid bilateral fusion, with medial healing to the pars (2.0); the greatest motion was found with a solid unilateral fusion without medial healing (6.0). Interspinous process fusion allowed only 1.9 of motion.

前路椎间融合，范围是0.8度（完全、100%融合）到3.3度（后方椎间隙25%的稳定融合）；后路椎间融合范围较大，是0.7度（完全、100%融合）到6.9度（伴有双侧峡部近内侧融合的后方椎间隙25%的稳定融合）；横突间植骨融合，最小值2.0度是双侧偏内侧稳定融合，最大值6.0度是单侧且不偏向内侧融合；椎板棘突间植骨融合只出现1.9度的活动度。

Results: 13 cases with 19 bone broken points,the positions are at dens ,side plank of atlas,occipital,plank of axis,processus spinosus etc.23 cases with axis and atlas half dislocation.Of which,16 cases were with pure dislocation,7 cases with rotating dislocation,11 cases were with swollen at the side of vertebra,2 cases with depressing of vertebral artery,5 cases with continued narrowing of vertebral canal.

结果：13例共见19处骨折，部位分别为齿状突、寰椎侧块、枕骨、枢椎椎板、棘突等，寰枢关节脱位23例，其中单纯性脱位16例，旋转性半脱位7例，11例合并椎旁血肿，2例见椎动脉受压，5例继发性椎管狭窄。

The front suture width of axis and atlas joints and the shift degree of dens were also measured.results: 13 cases with 19 bone broken points,the positions are at dens ,side plank of atlas,occipital,plank of axis,processus spinosus etc.23 cases with axis and atlas half dislocation.of which,16 cases were with pure dislocation,7 cases with rotating dislocation,11 cases were with swollen at the side of vertebra,2 cases with depressing of vertebral artery,5 cases with continued narrowing of vertebral canal.conclusions: ct has the advantage of quickness,safety and high density discerning,it can reveal details of acute axis and atlas damages,so it has great importance to treatment scheme making and to the prognosticate.

结果：13例共见19处骨折，部位分别为齿状突、寰椎侧块、枕骨、枢椎椎板、棘突等，寰枢关节脱位23例，其中单纯性脱位16例，旋转性半脱位7例，11例合并椎旁血肿，2例见椎动脉受压，5例继发性椎管狭窄。结论：ct具有快捷、安全、密度分辨率高等优点，可明确急性寰枢关节损伤细节，对制定治疗方案及估价预后具有重要作用。

Result: Different projection positions of X-ray can evaluate different thoracic small joints. Image diagnosis were space changes, the deflection of the spinous process of vertebral and hyperostosis osteosclerosis. soft tissue lesions near thoracic spinal facet almost was not evaluated. CT plain scan can evaluate every changes of thoracic spinal facet. Image diagnosis were articular process hypertrophy, osteophyte formation, articular surface hyperostosis osteosclerosis, space changes, joint capsule and ligament calcification.

结果：X线平片不同投照体位可以评价不同胸椎小关节，表现为间隙改变、椎棘突偏斜及增生硬化，对胸椎小关节软组织病变基本无法评价；CT平扫对各胸椎小关节改变均可评价，表现为关节突肥大，骨赘样增生，关节面硬化，关节间隙改变，关节囊及韧带钙化。

The directions of insertion on the articular process in the sagittal plane and horizontal plane were determined according to the relationship between the spinous process of vertebra and vertebral body in the X-ray film.

根据脊椎的棘突与椎体在X线片上的关系，在术中确定Dick钉在关节突处进针点上的矢状面和水平面上的进针方向，未用X线机辅助。

Spinous layer: the innermost prickle cells are polygon, and from the inside to outside, they become more and more flat, they are connected to granular cells with some space between, besides the spinous process, under normal condition, there is cell tissue fluid that could help the metabolism of cells in between.

棘层：棘细胞自里向外由多角形渐趋扁平，与颗粒细胞相连，各细胞间有一定空隙，除棘突外，在正常情况下，还含有细胞组织液，辅助细胞的新陈代谢。

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。

Methods. A validated 3-dimensional, nonlinear finite element model of an intact adult human L3-L4 motion segment was developed. Four fusion types were simulated using this model, including anterior lumbar interbody fusion, posterior lumbar interbody fusion, intertransverse process fusion, and interspinous process fusion.

制作一个完整的成人腰3-4节段三维立体多元化模型，再用这个模型来制成4种融合方式的模型，包括腰椎前路椎间融合、腰椎后路椎间融合、腰椎横突间植骨融合、椎板棘突间植骨融合；而且达到融合的程度也不尽相同。

Methods 25 corpses were dissected. The origin, insertion, the construction of muscle bundle, and the relationship with adjacent structures of multifidus muscle were observed and measured.

对25具尸体多裂肌的起、止点、肌束的构成、与周围组织结构的关系、多裂肌短腱与止点及其与棘突和棘间韧带的关系进行解剖测量。

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 。