Department of Orthopaedics and Rehabilitation, The University of Iowa, Iowa City, IA, USA.
Spine (Phila Pa 1976). 2010 Apr 1;35(7):725-9. doi: 10.1097/BRS.0b013e3181d39091.
Morphometric analysis of the human ilia obtained from the Hamann-Todd Collection at Cleveland Museum of Natural History.
To identify whether gender and pelvis size affect the distances between anatomic landmarks of the posterior pelvis.
The iliac crest bone harvest is commonly performed in orthopedic, neurosurgic, and maxillofacial surgery. Morbidity from the bone graft harvest is well described (Arrington et al, Clin Orthop Relat Res 1996:300-9; Ebraheim et al, J Am Acad Orthop Surg 2001;9:210-8; Hu and Bohlman, Clin Orthop Relat Res 1994;208-13; Kahn, Clin Orthop Relat Res 1979;204-7; Kurz et al, Spine 1989;14:1324-31; Lim et al, Spine 1996;21:2376-8; Sasso et al, J Bone Joint Surg Am 1998;80:631-5; St. John et al, A J Orthop (Belle Mead NJ) 2003;32:18-23; Summers and Eisenstein, J Bone Joint Surg Br 1989;71:677-80). Several studies have advanced our understanding of the bony, vascular, and neurologic anatomy of the posterior iliac crest (Ebraheim et al, J Am Acad Orthop Surg 2001;9:210-8; Xu et al, Spine 1996;21:1017-20). There is no literature documenting the measurement of this region on a large, statistically significant scale.
An anatomic study was undertaken using the Hamann-Todd collection. The bilateral human ilia were examined from 50 men and 50 women between 18 and 80 years of age. Age, gender, and side were recorded. Four parameters were recorded: the shortest distance from the posterior superior iliac spine to the sciatic notch (PN), the shortest distance from posterior superior iliac spine to the sacroiliac joint (PS), the anterior-posterior length of the sciatic notch (P90), and the maximum length of the sacroiliac joint (SI).
The right and left ilia were compared, and no significant difference was found. The mean for all 4 measurements was slightly larger in men and statistically significant (PN: men 43.7 +/- 4.6 mm vs. women 39.7 +/- 5.8 mm; PS: 21.5 +/- 7.8 mm vs. 16.9 +/- 5.3 mm; P90: 16.7 +/- 3.8 mm vs. 15.3 +/- 3.6 mm; SI: 60.0 +/- 5.9 mm vs. 55.2 +/- 5.8 mm). The ranges and distribution of data within the ranges were compared. Men had higher maximum limits although the lower limits were similar (PN: men 28.7-62.7 mm vs. women 28.0-51.0 mm; PS: 7.3-43.3 mm vs. 4.7-34.3 mm; P90: 9-25.3 mm vs. 7.7-22.7 mm; SI: 42.3-69 mm vs. 50.0-79.0 mm).
This study defines distances in the posterior iliac crest beyond which the risk of injuring important structures is present (2.80 cm for 100% of the population or 3.00 cm for > or = 90%).
从克利夫兰自然历史博物馆的哈曼-托德收藏中获取人类髂骨的形态计量分析。
确定性别和骨盆大小是否影响骨盆后部解剖标志之间的距离。
在矫形外科、神经外科和颌面外科中，通常进行髂嵴骨采集。骨移植物采集的发病率已有详细描述（Arrington 等人，Clin Orthop Relat Res 1996：300-9；Ebraheim 等人，J Am Acad Orthop Surg 2001；9：210-8；Hu 和 Bohlman，Clin Orthop Relat Res 1994；208-13；Kahn，Clin Orthop Relat Res 1979；204-7；Kurz 等人，Spine 1989；14：1324-31；Lim 等人，Spine 1996；21：2376-8；Sasso 等人，J Bone Joint Surg Am 1998；80：631-5；St. John 等人，A J Orthop（Belle Mead NJ）2003；32：18-23；Summers 和 Eisenstein，J Bone Joint Surg Br 1989；71：677-80）。几项研究提高了我们对后髂嵴骨的骨性、血管和神经解剖结构的理解（Ebraheim 等人，J Am Acad Orthop Surg 2001；9：210-8；Xu 等人，Spine 1996；21：1017-20）。没有文献记录该区域在大规模、具有统计学意义的范围内的测量值。
采用哈曼-托德收藏进行解剖学研究。检查了 50 名年龄在 18 至 80 岁之间的男性和 50 名女性的双侧人类髂骨。记录年龄、性别和侧别。记录了四个参数：从后上髂棘到坐骨切迹的最短距离（PN）、从后上髂棘到骶髂关节的最短距离（PS）、坐骨切迹的前后长度（P90）和骶髂关节的最大长度（SI）。
比较了左右髂骨，未发现明显差异。所有 4 项测量的平均值在男性中稍大，且具有统计学意义（PN：男性 43.7 +/- 4.6 毫米 vs. 女性 39.7 +/- 5.8 毫米；PS：21.5 +/- 7.8 毫米 vs. 16.9 +/- 5.3 毫米；P90：16.7 +/- 3.8 毫米 vs. 15.3 +/- 3.6 毫米；SI：60.0 +/- 5.9 毫米 vs. 55.2 +/- 5.8 毫米）。比较了数据的范围和分布。男性的最大限制较高，尽管下限相似（PN：男性 28.7-62.7 毫米 vs. 女性 28.0-51.0 毫米；PS：7.3-43.3 毫米 vs. 4.7-34.3 毫米；P90：9-25.3 毫米 vs. 7.7-22.7 毫米；SI：42.3-69 毫米 vs. 50.0-79.0 毫米）。
本研究定义了后髂嵴内存在重要结构损伤风险的距离（对于 100%的人群为 2.80 厘米，对于>或=90%的人群为 3.00 厘米）。
