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新加坡华裔人群颈椎、胸椎和腰椎的定量三维解剖学研究

Quantitative three-dimensional anatomy of cervical, thoracic and lumbar vertebrae of Chinese Singaporeans.

作者信息

Tan S H, Teo E C, Chua H C

机构信息

School of Mechanical and Production Engineering, Nanyang Technological University, 50 Nanyang Avenue, 639798, Singapore.

出版信息

Eur Spine J. 2004 Mar;13(2):137-46. doi: 10.1007/s00586-003-0586-z. Epub 2003 Dec 12.

Abstract

This paper details the quantitative three-dimensional anatomy of cervical, thoracic and lumbar vertebrae (C3-T12) of Chinese Singaporean subjects based on 220 vertebrae from 10 cadavers. The purpose of the study was to measure the linear dimensions, angulations and areas of individual vertebra, and to compare the data with similar studies performed on Caucasian specimens. Measurements were taken with the aid of a three-dimensional digitiser. The means and standard errors for linear, angular and area dimensions of the vertebral body, spinal canal, pedicle, and spinous and transverse processes were obtained for each vertebra. Compared to the Caucasian data, all the dimensions were found to be smaller. Of significance were the spinal canal area, and pedicle width and length, which were smaller by 31.7%, 25.7% and 22.1% on average, respectively. A slight divergence, instead of convergence, was found from T8 to T12. According to the findings, the use of a transpedicle screw may not be feasible. The results can also provide more accurate modelling for analysis and design of spinal implants and instrumentations, and also allow more precise clinical diagnosis and management of the spine in Chinese Singaporeans.

摘要

本文基于10具尸体的220块椎骨,详细阐述了华裔新加坡人颈椎、胸椎和腰椎(C3 - T12)的三维定量解剖结构。该研究的目的是测量单个椎体的线性尺寸、角度和面积,并将数据与对高加索人标本进行的类似研究进行比较。测量借助三维数字化仪进行。获取了每个椎体的椎体、椎管、椎弓根以及棘突和横突的线性、角度和面积尺寸的均值和标准误差。与高加索人的数据相比,发现所有尺寸都较小。其中具有显著意义的是椎管面积、椎弓根宽度和长度,平均分别小31.7%、25.7%和22.1%。从T8到T12发现了轻微的分歧而非汇聚。根据研究结果,使用椎弓根螺钉可能不可行。这些结果还可为脊柱植入物和器械的分析与设计提供更精确的模型,也有助于华裔新加坡人脊柱疾病更精确的临床诊断和治疗。

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