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兔腰椎安全植入通道的计算机断层扫描研究

Computed tomographic study of safe implantation corridors in rabbit lumbar vertebrae.

作者信息

Moran Clara E, Harper Tisha A M, Joslyn Stephen K, Whittington Julia K, Hague Devon W, Mitchell Mark A, Schaeffer David J

机构信息

Clara E. Moran, DVM, University of Illinois Veterinary Teaching Hospital, 1008 West Hazelwood Drive, Urbana, Il 61802, United States, Phone: +1 217 480 5558, E-mail:

出版信息

Vet Comp Orthop Traumatol. 2017 Sep 12;30(5):357-363. doi: 10.3415/VCOT-17-01-0009. Epub 2017 Aug 24.

Abstract

OBJECTIVES

A study was performed to evaluate the lumbar vertebrae of domestic rabbits using computed tomography (CT) in order to identify safe corridors for implant insertion.

METHODS

Computed tomography imaging of 20 adult New Zealand white rabbits was evaluated using three-dimensional multiplanar reconstruction, and safe corridors were determined. Following corridor determination, implant placement was performed, and imaging was repeated.

RESULTS

The cranial and caudal endplates contained the majority of the vertebral bone stock, and were an average of 3.14 and 3.30 mm in length, respectively. The mean safe corridor angle was 62.9 degrees (range: 58.8-66.7), and the mean width of the corridor was 2.03 mm (range: 1.60- 2.07). Post-placement imaging revealed that 35% of the pins demonstrated errors of placement, most commonly canal impingement.

CONCLUSIONS

The results of the corridor evaluation indicate that an insertion angle of approximately 60 degrees relative to the sagittal midline is appropriate for implant insertion in the lumbar vertebrae of New Zealand white rabbits. Additionally, due to the hourglass shape of rabbit vertebrae, the endplates provide maximal bone stock for implant purchase, so insertion should be attempted in these regions. However, the high percentage of errors in placement indicate the need to more clearly define entry points to access the canal, and highlight the challenges of appropriate placement in the small bones of rabbits.

摘要

目的

进行一项研究,使用计算机断层扫描(CT)评估家兔腰椎,以确定植入物插入的安全通道。

方法

使用三维多平面重建技术评估20只成年新西兰白兔的计算机断层扫描图像,确定安全通道。确定通道后,进行植入物放置,并重复成像。

结果

颅侧和尾侧终板包含了大部分椎体骨量,长度分别平均为3.14和3.30毫米。安全通道的平均角度为62.9度(范围:58.8 - 66.7度),通道平均宽度为2.03毫米(范围:1.60 - 2.07毫米)。放置后成像显示,35%的钢针存在放置错误,最常见的是椎管受压。

结论

通道评估结果表明,相对于矢状中线约60度的插入角度适合在新西兰白兔腰椎中插入植入物。此外,由于兔椎体的沙漏形状,终板为植入物提供了最大的骨量以供固定,因此应尝试在这些区域进行插入。然而,放置错误的高比例表明需要更明确地定义进入椎管的入口点,并突出了在兔小骨骼中正确放置的挑战。

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