Morphologic characteristics of human cervical pedicles.

作者: Eldin E. Karaikovic , Michael D. Daubs , Richard W. Madsen , Robert W. Gaines

DOI: 10.1097/00007632-199703010-00005

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摘要: STUDY DESIGN Cervical pedicle morphology was investigated using manual and computed tomography measurements. OBJECTIVES Normal anatomic variations of the cervical pedicles were measured to evaluate their safety as anchors for posterior fixation systems. SUMMARY OF BACKGROUND DATA There have been no measurements on a large number specimens. No study has ever inner diameter. METHODS Fifty-three spinal columns (C2-C7) Euro-American origin identified by age, sex, height (318 vertebrae or 636 pedicles) digital caliper, goniometer, scanning. RESULTS The axis lengths similar from C3 C7 (except shorter C2 pedicles). In horizontal plane, medial inclination followed cord enlargement. sagittal directed superiorly in upper spine inferiorly lower spine. Some had medullary canal (i.e., solid cortical bone: 0.9% C2, 2.8% C4, 3.8% C5 outer width smaller than most pedicles. equal 2 mm 13.2% 72.6% C3, 67.0% 62.3% C5, 51.9% C6, 16.0% C7. 4 8.5% 75.5% 35.8% 6.6% thinnest cortex always lateral cortex, which protects vertebral artery. Measurements projection also taken. CONCLUSIONS These data provide limitations screw use

参考文章(9)
Robert C. Nucci, Stacey Seigal, Andrew A. Merola, John Gorup, Kenneth J. Mroczek, Joseph Dryer, Richard I. Zipnick, Thomas R. Haher, Computed tomographic evaluation of the normal adult odontoid : implications for internal fixation Spine. ,vol. 20, pp. 264- 270 ,(1995) , 10.1097/00007632-199502000-00002
Carl C. Francis, Dimensions of the cervical vertebrae The Anatomical Record. ,vol. 122, pp. 603- 609 ,(1955) , 10.1002/AR.1091220409
Rongming Xu, Matthew C. Nadaud, Nabil A. Ebraheim, Richard A. Yeasting, Morphology of the second cervical vertebra and the posterior projection of the C2 pedicle axis. Spine. ,vol. 20, pp. 259- 263 ,(1995) , 10.1097/00007632-199502000-00001
M Nissan, I Gilad, The cervical and lumbar vertebrae--an anthropometric model. Engineering in medicine. ,vol. 13, pp. 111- 114 ,(1984) , 10.1243/EMED_JOUR_1984_013_030_02
HOWARD S. AN, RAYLENE GORDIN, KENNETH RENNER, Anatomic considerations for plate-screw fixation of the cervical spine. Spine. ,vol. 16, ,(1991) , 10.1097/00007632-199110001-00019
Teiji Tominaga, Curtis A. Dickman, Volker K. H. Sonntag, Stephen Coons, Comparative Anatomy of the Baboon and the Human Cervical Spine Spine. ,vol. 20, pp. 131- 137 ,(1995) , 10.1097/00007632-199501150-00001
Kuniyoshi Abumi, Hajime Itoh, Hiroshi Taneichi, Kiyoshi Kaneda, Transpedicular screw fixation for traumatic lesions of the middle and lower cervical spine: Description of the techniques and preliminary report Journal of Spinal Disorders. ,vol. 7, pp. 19- 28 ,(1994) , 10.1097/00002517-199407010-00003
MANOHAR M. PANJABI, JOANNE DURANCEAU, VIJAY GOEL, THOMAS OXLAND, KOICHIRO TAKATA, Cervical human vertebrae. Quantitative three-dimensional anatomy of the middle and lower regions. Spine. ,vol. 16, pp. 861- 869 ,(1991) , 10.1097/00007632-199108000-00001