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首页> 外文期刊>Spine >Pedicle morphology of the lower thoracic, lumbar, and S1 vertebrae: an Indian perspective.
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Pedicle morphology of the lower thoracic, lumbar, and S1 vertebrae: an Indian perspective.

机译:下胸椎,腰椎和S1椎弓根的椎弓根形态:印度的观点。

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STUDY DESIGN: Analysis of morphometric data obtained from computed tomography scans in relation to the lower thoracic, lumbar, and S1 pedicle in patients from the Indian subcontinent. OBJECTIVES: To record the surgically relevant parameters of transverse pedicle isthmus width, transverse pedicle angle, and depth to anterior cortex along the midline axis and the pedicle axis and to compare the results with those of similar studies in literature. SUMMARY OF BACKGROUND DATA: Most studies reported are for white populations. Considerable differences are documented in the few reports in Oriental populations compared with Western populations. To the authors' knowledge, no similar study has been published for patients from the Indian subcontinent. METHODS: Computed tomography scans of the lower thoracic and lumbosacral spine of patients from the Indian subcontinent were reviewed. We selected and analyzed 86 vertebrae in 31 patients. Parameters recorded were transverse pedicle isthmus width, transverse pedicle angle, and depth to anterior cortex along the midline axis and the pedicle axis. RESULTS: The mean transverse pedicle isthmus width was least at the T9 level (5.02 mm). Of the pedicles at T9, 46.15% had a diameter of less than 5 mm, followed by T10 (12.5%), T11 (11.11%), and L1 (11.11%). Of the pedicles at T9, 76.92% had a diameter of less than 6 mm, followed by T11 (33.33%), L1 (33.33%), T10 (25%), T12 (25%), L2 (20%), and L3 (5.56%). The mean transverse pedicle angle faced laterally at T11 (-2.97 degrees ) and T12 (-3.00 degrees ), being least at T12. The depth to the anterior cortex was more along the pedicle axis at all levels except T11 and T12, consistent with the laterally facing pedicles at these levels. CONCLUSIONS: Significant differences exist between the pedicles of Indian and white populations. It is suggested that preoperative computed tomography scans of the patients must be evaluated to choose the appropriately sized implant and avoid inadvertent complications. Preparation of the pedicle intraoperatively should take into account the orientation of the transverse pedicle angle.
机译:研究设计:分析来自印度次大陆患者的与胸部下部,腰部和S1蒂相关的计算机断层扫描形态学数据。目的:记录与椎弓根峡部峡部宽度,横向椎弓根角度和沿中线轴和椎弓根轴至前皮质深度的手术相关参数,并将其结果与文献中的相似研究进行比较。背景数据摘要:报告的大多数研究都是针对白人人群的。与西方人群相比,东方人群中很少有报告记载。据作者所知,尚未有针对印度次大陆患者的类似研究发表。方法:对印度次大陆患者的下胸部和腰s部脊柱进行计算机断层扫描。我们选择并分析了31例患者中的86块椎骨。记录的参数是横椎弓根峡部宽度,横椎弓根角度以及沿中线轴和椎弓根轴至前皮质的深度。结果:平均横向椎弓根峡部宽度至少在T9水平(5.02 mm)。在T9的椎弓根中,有46.15%的椎弓根直径小于5 mm,其次是T10(12.5%),T11(11.11%)和L1(11.11%)。在T9的椎弓根中,有76.92%的椎弓根直径小于6 mm,其次是T11(33.33%),L1(33.33%),T10(25%),T12(25%),L2(20%)和L3(5.56%)。横向平均椎弓根角度在T11(-2.97度)和T12(-3.00度)侧向,至少在T12处。除T11和T12以外,所有层面上沿蒂的前皮质深度都更大,这与这些层面上的侧向蒂相一致。结论:印度人和白人的椎弓根之间存在显着差异。建议必须对患者的术前计算机断层扫描进行评估,以选择合适尺寸的植入物,并避免意外并发症。术中椎弓根的准备应考虑到横向椎弓根角度的方向。

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