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基于计算机断层扫描的胸椎椎弓根形态计量学分析:对1512个椎弓根及其与性别、年龄、体重和身高的相关性分析。

Computed Tomography-Based Morphometric Analysis of Thoracic Pedicles: An Analysis of 1512 Pedicles and Their Correlation with Sex, Age, Weight and Height.

作者信息

Demiroz Serdar, Erdem Sevki

机构信息

Medicalpark Hospital, Department of Orthopaedics and Traumatology, Gebze, Turkey.

出版信息

Turk Neurosurg. 2020;30(2):206-216. doi: 10.5137/1019-5149.JTN.26848-19.2.

Abstract

AIM

To examine the morphological features of thoracic pedicles in a Turkish population.

MATERIAL AND METHODS

This retrospective study was performed with the patients who were underwent thoracic CT for any reason such as trauma or pulmonary disorder. Patient's age, height, weight, and sex were recorded and pedicle length (PL), transverse pedicle diameter (TPD), sagittal pedicle diameter (SPD) and, transverse pedicle angle (TPA) were measured. The right and left pedicles were separately measured. The data obtained was analyzed and compared with other studies in the literature.

RESULTS

The highest mean TPA value was 33° at T1, whereas the lowest mean TPA value was 3° at T12. The highest mean PL value was 39.6 mm at T11, whereas the lowest mean PL value was 33.7 mm at T1. The lowest mean SPD value was 7.2 mm, which was measured on T1, and the maximum mean SPD was 11.7 mm on T12. The minimum mean TPD value was 3.8 mm at T5 and the maximum value was 6.2 mm at T1. There was a statistically significant positive correlation between pedicle length and height in all vertebrae. Age had no effect on the morphological features of the thoracic pedicle. In males, PL, TPD, and SPD were higher than females.

CONCLUSION

Compared with other populations, the Turkish population has a smaller pedicle width on sagittal and transverse planes, and their PL and medial angling is similar to those of other populations. Male patients who are taller and overweight have higher pedicle width and length.

摘要

目的

研究土耳其人群胸椎椎弓根的形态特征。

材料与方法

本回顾性研究对因创伤或肺部疾病等任何原因接受胸部CT检查的患者进行。记录患者的年龄、身高、体重和性别,并测量椎弓根长度(PL)、椎弓根横径(TPD)、椎弓根矢状径(SPD)和椎弓根横角(TPA)。左右椎弓根分别测量。对获得的数据进行分析,并与文献中的其他研究进行比较。

结果

T1的平均TPA值最高,为33°,而T12的平均TPA值最低,为3°。T11的平均PL值最高,为39.6mm,而T1的平均PL值最低,为33.7mm。T1测量的平均SPD值最低,为7.2mm,T12的平均SPD最大值为11.7mm。T5的平均TPD值最小,为3.8mm,T1的最大值为6.2mm。所有椎体的椎弓根长度与身高之间存在统计学显著正相关。年龄对胸椎椎弓根的形态特征没有影响。男性的PL、TPD和SPD高于女性。

结论

与其他人群相比,土耳其人群在矢状面和横断面上的椎弓根宽度较小,其PL和内侧角度与其他人群相似。身材较高且超重的男性患者椎弓根宽度和长度更大。

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