Yoon Seung Hwan, Park Hyoung Chun, Park Heon Seon, Kim Eun Young, Ha Yoon, Chong Chong Kweon, Kim Seung Min, Rim Dae Cheol
Department of Neurosurgery, Inha University Hospital, 7-206, 3 Ga, Shinheung-dong, Jung-gu, Incheon 400-711, Korea.
Yonsei Med J. 2004 Jun 30;45(3):406-12. doi: 10.3349/ymj.2004.45.3.406.
The aim of this study is to determine whether the posterior cervical fusion methods with the plate-screw system applied to the lateral mass of cervical spine are radiologically safe to patients. The lateral cervical X-rays and CT scans were done on 40 normal adults without cervical problem. Based on Roy-Camille and Magerl's method, the theological trajectory of screw was shown on films and the parameters were measured. The study based on Roy-Camille's method showed less than one percent chance of injury on the facet joint and the mean depth of the screw to be 10.5 +/- 1.4 mm. On the other hand, Magerl's method showed the mean depth of screw to be 11.9 +/- 1.5 mm which is slightly larger than that of Roy-Camille's method and no chance of facet injury occurred. A reduced lateral angle of screw (19.6 +/- 3.5 degrees C) performed with the concept based on Magerl's method resulted a longer depth of screw (13.5 +/- 2.1 mm). Both Roy-Camille and Magerl's methods seemed to be radiologically safe to normal persons. However, the authors recommend the reduced lateral angle (19.6 +/- 3.5 degrees C) of screw based on the Magerl's method more than an original Magerl's methods.
本研究的目的是确定应用于颈椎侧块的钢板螺钉系统后路颈椎融合方法对患者在放射学上是否安全。对40名无颈椎问题的正常成年人进行了颈椎侧位X线片和CT扫描。基于Roy-Camille法和Magerl法,在X线片上显示螺钉的理论轨迹并测量参数。基于Roy-Camille法的研究显示关节突关节损伤几率小于1%,螺钉平均深度为10.5±1.4mm。另一方面,Magerl法显示螺钉平均深度为11.9±1.5mm,略大于Roy-Camille法,且未发生关节突损伤。基于Magerl法概念采用减小的螺钉外侧角(19.6±3.5度)会导致螺钉深度增加(13.5±2.1mm)。Roy-Camille法和Magerl法对正常人在放射学上似乎都是安全的。然而,作者更推荐基于Magerl法的减小的螺钉外侧角(19.6±3.5度),而非原始的Magerl法。
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