椎下切迹的测量分析对经椎间孔入路的脊柱内镜技术的意义

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (2303 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study the division of the travel nerve root in the inferior vertebral incisure in order to guide the implementation of the spinal endoscopic technique via the intervertebral foramen.Methods Three groups (A，B，C) were divided by the age：25～35 years old，45～55 years old，and 65～75 years old.Each group were randomly selected 40 people，with a total of 120 people and the ratio of male and female 1︰1.Describe the spatial geometric relationships between L_3～4，L_4～5，L₅S₁intervertebral foramen structures and nerve roots by observing the lumbar lateral position X-ray，lumbar MRI and other conventional preoperative imaging data.Measure the height and width of the Inferior vertebral incisure and analyze the testing data in SPSS 19.0 by using one-way analysis of variance. Results A total of 720 intervertebral foramen were observed，with 240 in each group.Nerve roots within the Intervertebral foramen direction in the Inferior vertebral incisure.The mean value of the width of the measured inferior vertebral incisure is：Group A (1.514 6±0.013 8)mm；Group B (1.493 3±0.019 0)mm；Group C (1.487 5±0.018 4)mm.The mean value of the height is：Group A (1.016 7±0.028 7)mm；Group B (0.884 2±0.014 05)mm；Group C (0.993 8±0.015 05)mm.The oneway ANOVA results showed：there was no significant difference between the measured values of the inferior vertebral incisure width in each group (P＝0.071)，while the differences of the (measured values of the inferior vertebral incisure) height in each group was statistically significant(P＝0.000).Conclusion Preoperative imaging analysis of nerve root in vertebral incised trace of course place，can offer the reference for the Transformational spinal endoscopy technique to avoid damage nerve root imaging.

Key words： endoscopes inferior vertebral incisure nerve root intervertebral foramen imageology

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2017/V23/I10/879

［1］Schubert M，Hoogland T.Endoscopic transforaminal nucleotomy with foraminoplasty for lumbar disk herniation［J］.Oper Orthop Traumatol，2005，17(6)：641-661.
［2］古伟文，徐峰，蔡贤华，等.经皮椎间孔镜靶向穿刺技术治疗腰椎椎间盘突出症的疗效分析［J］.脊柱外科杂志，2013，11(3)：149-153.
［3］Hoogland T，Schubert M，Miklitz B，et al.Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain：a prospective randomized study in 280 consecutive cases［J］.Spine (Phila Pa 1976)，2006，31(24)：890-897.
［4］Cho JY，Lee SH，Lee HY.Prevention of development of postoperative dysesthesia in transforaminal percutaneous endoscopic lumbar discectomy for intracanalicular lumbar disc herniation：floating retraction technique［J］.Minim Invasive Neurosurg，2011，54(56)：214-218.
［5］Yuan SG，Wen YL，Zhang P，et al.Ligament，nerve，and blood vessel anatomy of the lateral zone of the lumbar intervertebral foramina［J］.Int Orthop，2015，39(11)：2135-2141.
［6］Min JH，Kang SH，Lee JB，et al.Anatomic analysis of the transforaminal ligament in the lumbar intervertebral foramen［J］.Neurosurgery，2005，57(1 Suppl)：37-41.
［7］Botanlioglu H，Aydingoz O，Kantarci F，et al.Positional alterations of the Kambin's triangle and foraminal areas in the lumbosacral region［J］.Acta Orthop Traumatol Turc，2015，49(1)：30-36.
［8］Senoo I，Espinoza OAA，An HS，et al.In vivo 3-dimensional morphometric analysis of the lumbar foramen in healthy subjects［J］.Spine (Phila Pa 1976)，2014，39(16)：929-935.
［9］Maric DL，Krstonosic B，Eric M，et al.An anatomical study of the lumbar external foraminal ligaments：appearance at MR imaging［J］.Surg Radiol Anat，2015，37(1)：87-91.
［10］徐宝山，Yuvraj，Hurday，等.经皮椎间孔镜手术入路的X线、MRI分析［J］.中华解剖与临床杂志，2015，15(6)：483-487.
［11］AmonooKuofi HS，el-Badawi MG，Fatani JA，et al.Ligaments associated with lumbar intervertebral foramina.2.The fifth lumbar level［J］.J Anat，1988(159)：1-10.
［12］AmonooKuofi HS，el-Badawi MG，Fatani JA.Ligaments associated with lumbar intervertebral foramina.1.L₁ to L₄［J］.J Anat，1988(156)：177-183.
［13］Cinotti G，De Santis P，Nofroni I，et al.Stenosis of lumbar intervertebral foramen：anatomic study on predisposing factors［J］.Spine (Phila Pa 1976)，2002，27(3)：223-229.
［14］Schlegel JD，Champine J，Taylor MS，et al.The role of distraction in improving the space available in the lumbar stenotic canal and foramen［J］.Spine (Phila Pa 1976)，1994，19(18)：2041-2047.
［15］Miller JA，Schmatz C，Schultz AB.Lumbar disc degeneration：correlation with age，sex，and spine level in 600 autopsy specimens［J］.Spine (Phila Pa 1976)，1988，13(2)：173-178.
［16］Yoshimura N.Epidemiology of osteoarthritis in Japan：the ROAD study［J］.Clin Calcium，2011，21(6)：821-825.
［17］Jenis LG，An HS.Spine update.Lumbar foraminal stenosis［J］.Spine (Phila Pa 1976)，2000，25(3)：389-394.
［18］Choi I，Ahn JO，So WS，et al.Exiting root injury in transforaminal endoscopic discectomy：preoperative image considerations for safety［J］.Eur Spine J，2013，22(11)：2481-2487.
［19］Tsou PM，Yeung AT.Transforaminal endoscopic decompression for radiculopathy secondary to intracanal noncontained lumbar disc herniations：outcome and technique［J］.Spine J，2002(2)：41-48.
［20］Ruetten S，Komp M，Merk H，et al.Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique：a prospective，randomized，controlled study［J］.Spine (Phila Pa 1976)，2008(33)：931-939.
［21］YeungAT，TsouPM.Posterolaterl endoscopic excision for lumbar disc herniation：Surgical technique，outcome，and complications in 307 consecutive cases［J］.Spine (Phila Pa 1976)，2002(27)：722-731.
［22］Min JH，Kang SH，Lee JB，et al.Morphometric analysis of the working zone for endoscopic lumbar discectomy［J］.J Spinal Disord Tech，2005，18(2)：132-135.
［23］Mirkovic SR，Schwartz DG，Glazier KD.Anatomic considerations in lumbar posterolateral percutaneous procedures［J］.Spine (Phila Pa 1976)，1995，20(18)：1965-1971.
［24］Epstein BS，Epstein JA，Lavine L.The effect of anatomic variations in the lumbar vertebrae and spinal canal on cauda and nerve root sundromes［J］.Am J Roentgenol Radium Ther Nucl Med，1964，91(5)：1055-1063.
［25］Giles LG.A histological investigation of human lower lumbar intervertebral canal (foramen) dimensions［J］.J Manipulative Physiol Ther，1994，17(1)：4-14.
［26］Torun F，Dolgun H，Tuna H，et al.Morphometric analysis of the roots and neural foramina of the lumbar vertebrae［J］.Surg Neurol，2006，66(2)：148-151.