Park Moon Soo, Moon Seong Hwan, Kim Tae Hwan, Oh Jae Keun, Kim Hyung Joon, Park Kun Tae, Riew K Daniel
Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.
Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 2016 Jul;57(4):968-72. doi: 10.3349/ymj.2016.57.4.968.
There have been a few previous reports regarding the distances between the medial borders of the longus colli to expose the disc space. However, to our knowledge, there are no reports concerning longus colli dissection to expose the uncinate processes. This study was undertaken to assess the surgical relationship between the longus colli muscle and the uncinate process in the cervical spine.
This study included 120 Korean patients randomly selected from 333 who had cervical spine MRIs and CTs from January 2003 to October 2013. They consisted of 60 males and 60 females. Each group was subdivided into six groups by age from 20 to 70 years or more. We measured three parameters on MRIs from C3 to T1: left and right longus colli distance and inter-longus colli distance. We also measured three parameters on CT: left and right uncinate distance and inter-uncinate distance.
The longus colli distances, uncinate distances, and inter-uncinate distances increased from C3 to T1. The inter-longus colli distances increased from C3 to C7. There was no difference in longus colli distances and uncinate distances between males and females. There was no difference in the six parameters for the different age groups.
Although approximate guidelines, we recommend the longus colli be dissected approximately 5 mm at C3-5, 6 mm at C5-6, 7 mm at C6-7, and 8 mm at C7-T1 to expose the uncinate process to its lateral edge.
此前已有一些关于暴露椎间盘间隙时颈长肌内侧缘之间距离的报道。然而，据我们所知，尚无关于为暴露钩突而进行颈长肌解剖的报道。本研究旨在评估颈椎中颈长肌与钩突之间的手术关系。
本研究纳入了2003年1月至2013年10月期间从333例进行了颈椎MRI和CT检查的韩国患者中随机选取的120例患者。其中男性60例，女性60例。每组按年龄从20岁至70岁及以上再细分为六个亚组。我们在C3至T1的MRI上测量了三个参数：左右颈长肌距离和颈长肌间距离。我们还在CT上测量了三个参数：左右钩突距离和钩突间距离。
颈长肌距离、钩突距离和钩突间距离从C3至T1逐渐增加。颈长肌间距离从C3至C7逐渐增加。男性和女性在颈长肌距离和钩突距离上没有差异。不同年龄组的六个参数也没有差异。
尽管只是近似的指导原则，但我们建议在C3 - 5处将颈长肌解剖约5mm，在C5 - 6处约6mm，在C6 - 7处约7mm，在C7 - T1处约8mm，以暴露钩突至其外侧边缘。
