棘突间的

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。

First 27 rabbits of the experimental group were destabilizated by operated on L6、7.Inj Diazepam 0.25 mg/kg,Inj Ketamine 0.02 g/kg and Inj Atropine 0.125 mg/kg was one by one injected into the rabbit through the auris vein,shearing the rabbit hair of backside waist,fixing the rabbit on operation table in face lying,using 1% Povidone Ioding to degerm the operation area.Every rabbit was incised at the backside of its waist,that incisal opening is located in the center of the intervertebral space (L6、7 space) that both side iliac crest line correspond ,from the meso-ordinate direction cut about 4 cm incision,cutting open skin and subcutaneous tissue,thoroughly ,exposing the spinous processes the vertebral plates and the upper-inferior articular processes,entirely segregating the muscles that cohere the spinous processes the vertebral plates and the articluar process,then excising the supraspinal ligaments and interspinal ligaments,biting off two sides the inferior articular processes of L6,in order that resulting in intervertebral destabilization,using 0.9% Inj.Sodium Chloride to washout the incisal opening,in order sewing up each layer tissues.

方法］ 取48只6个月龄日本大耳白兔，雌雄不限，体重为（2.5±0.2） kg，随机进行分组，分为对照组和实验组，对照组为21只；实验组为27只；先将实验组兔腰背部皮毛剪除，用安定注射液1.25 mg/kg、氯胺酮0.02 g/kg、阿托品0.125 mg/kg顺次耳缘静脉注射麻醉后，俯卧固定于手术台上，用1%碘伏消毒手术区域，以髂嵴平对椎间隙（即L6、7）为中心，从正中取一长约4 cm纵行切口，切开皮肤及皮下组织，锐性分离，暴露棘突、椎板及上下关节突，将附着于棘突、椎板及小关节的肌肉全部分离开，然后依次切除L6、7棘上及棘间韧带，咬除第6腰椎两侧下关节突，造成椎间失稳，用无菌生理盐水冲洗切口，依次缝合各层组织；术后动物在笼中自由活动。

Inj Diazepam 0.25 mg/kg,Inj Ketamine 0.02 g/kg and Inj Atropine 0.125 mg/kg was one by one injected into the rabbit through the auris vein,shearing the rabbit hair of backside waist,fixing the rabbit on operation table in face lying,using 1% Povidone Ioding to degerm the operation area.Every rabbit was incised at the backside of its waist,that incisal opening is located in the center of the intervertebral space (L6、7 space) that both side iliac crest line correspond ,from the meso-ordinate direction cut about 4 cm incision,cutting open skin and subcutaneous tissue,thoroughly ,exposing the spinous processes the vertebral plates and the upper-inferior articular processes,entirely segregating the muscles that cohere the spinous processes the vertebral plates and the articluar process,then excising the supraspinal ligaments and interspinal ligaments,biting off two sides the inferior articular processes of L6,in order that resulting in intervertebral destabilization,using 0.9% Inj.Sodium Chloride to washout the incisal opening,in order sewing up each layer tissues.

方法］ 取48只6个月龄日本大耳白兔，雌雄不限，体重为（2.5±0.2） kg，随机进行分组，分为对照组和实验组，对照组为21只；实验组为27只；先将实验组兔腰背部皮毛剪除，用安定注射液1.25 mg/kg、氯胺酮0.02 g/kg、阿托品0.125 mg/kg顺次耳缘静脉注射####后，俯卧固定于手术台上，用1%碘伏消毒手术区域，以髂嵴平对椎间隙（即L6、7）为中心，从正中取一长约4 cm纵行切口，切开皮肤及皮下组织，锐性分离，暴露棘突、椎板及上下关节突，将附着于棘突、椎板及小关节的肌肉全部分离开，然后依次切除L6、7棘上及棘间韧带，咬除第6腰椎两侧下关节突，造成椎间失稳，用无菌生理盐水冲洗切口，依次缝合各层组织；术后动物在笼中自由活动。

BACKGROUND: Lumbar degenerative disease has been commonly treated with nucleus pulposus extirpation or nucleus pulposus extirpation combined with internal fixation; however, with the development of non-rigidity fixation, interspinous dynamic stabilization and intervertebral disk displacement attract more and more attention.

摘要背景：在早期，腰椎间盘退变性疾病的治疗临床常用髓核摘除或髓核摘除加刚性内固定融合技术，但是随着非刚性固定技术的发展，棘突间稳定系统固定和全椎间盘置换在脊柱非融合治疗中逐渐受到人们的重视，其优点日益突出。

Although there is fair evidence that articial disc replacement is similarly effective compared to fusion for single level degenerative disc disease and that an interspinous spacer device is superior to nonsurgical therapy for 1- or 2-level spinal stenosis with symptoms relieved with forward exion, insufcient evidence exists to judge longterm benets or harms.

尽管已有相当的证据证明人工椎间盘置换治疗单节段脊柱退变疾病具有和融合手术类似的疗效，也有相当的证据证明棘突间支架治疗1～2个节段伴间歇性跛行的椎管狭窄的疗效优于非手术治疗，但以上都缺乏长期随访的证据。

Summary of Background Data. The X Stop Interspinous Process Distraction Deice is a relatiely new interspinous implant designed for patients with symptomatic spinal stenosis particularly neurogenic claudication.

背景资料概述：对于存在腰椎管狭窄症并有神经源性跛行表现的患者而言，X STOP是一种相对较新的棘突间植入装置。

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。

Spines were tested first intact, then after complete C5-C6 discectomy with posterior longitudinal ligament resection and ACDF with a wedged bone graft and a rigid locked plate, and finally after complete release of the supraspinous, interspinous, and intertransverse ligaments; the facet capsules; and ligamentum flavum.

首先在完整的颈椎上进行检测，此后将C5-C6椎间盘完全切除、后纵韧带切除后使用坚强锁定钢板及楔形植骨行ACDF，最后完全松解棘上、棘间、横突间韧带及关节囊和黄韧带，在上述情况下分别进行检测。

From the simulations, we can see the distributions and transmission of strain and stress in model under different loadings, and the results explained the fractures very well. 4. Similarly, a axis FEM model was constructed to simulate the axis fracture, emphasized on the odontoid process. Three kind of odontoid process fracture were analysed on this model, which occurred respectively on the tip, the middle and the fundus. The results gave the best angle to fracture the odontoid process of the axis.

四、建立了枢椎的三维有限元模型，对枢椎齿状突骨折机理进行了理论上的研究，重点针对临床上齿突骨折的三种分类：1、齿突尖骨折；2、齿突腰部骨折；3、齿突基底部骨折，赋予齿状突在矢状面沿各种角度下受力条件，模拟衰椎前弓、襄椎横韧带以及CZ－3棘间韧带对枢椎造成的暴力破坏，确定了最可能引起齿状突暴力骨折的受力角度。

Similarly, a axis FEM model was constructed to simulate the axis fracture, emphasized on the odontoid process. Three kind of odontoid process fracture were analysed on this model, which occurred respectively on the tip, the middle and the fundus. The results gave the best angle to fracture the odontoid process of the axis.

四、建立了枢椎的三维有限元模型，对枢椎齿状突骨折机理进行了理论上的研究，重点针对临床上齿突骨折的三种分类：1、齿突尖骨折：2、齿突腰部骨折：3、齿突基底部骨折，赋予齿状突在矢状面沿各种角度下受力条件，模拟寰椎前弓、寰椎横韧带以及C2-3棘间韧带对枢椎造成的暴力破坏，确定了最可能引起齿状突暴力骨折的受力角度。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。