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颅颈交界区的沉浸式手术解剖学

Immersive Surgical Anatomy of the Craniocervical Junction.

作者信息

Vigo Vera, Hirpara Ankit, Yassin Mohamed, Wang Minghao, Chou Dean, De Bonis Pasquale, Abla Adib, Rodriguez Rubio Roberto

机构信息

Neurological Surgery, University of California San Francisco, San Francisco, USA.

Neurological Surgery, First Affiliated Hospital of China Medical University, Shenyang, CHN.

出版信息

Cureus. 2020 Sep 10;12(9):e10364. doi: 10.7759/cureus.10364.

Abstract

With the advent and increased usage of posterior, lateral, and anterior surgical approaches to the craniocervical junction (CCJ), it is essential to have a sound understanding of the osseous, ligamentous, and neurovascular layers of this region as well as their three-dimensional (3D) orientations and functional kinematics. Advances in 3D technology can be leveraged to develop a more nuanced and comprehensive understanding of the CCJ, classically depicted via dissections and sketches. As such, this study aims to illustrate - with the use of 3D technologies - the major anatomical landmarks of the CCJ in an innovative and informative way. Photogrammetry, structured light scanning, and 3D reconstruction of medical images were used to generate these high-resolution volumetric models. A clear knowledge of the critical anatomical structures and morphometrics of the CCJ is crucial for the diagnosis, classification, and treatment of pathologies in this transitional region.

摘要

随着颅颈交界区(CCJ)后路、侧路和前路手术入路的出现及应用增加,深入了解该区域的骨、韧带和神经血管层以及它们的三维(3D)方向和功能运动学至关重要。3D技术的进步可用于更细致、全面地了解CCJ,传统上通过解剖和草图来描绘CCJ。因此,本研究旨在利用3D技术以创新且信息丰富的方式展示CCJ的主要解剖标志。采用摄影测量、结构光扫描和医学图像的3D重建来生成这些高分辨率的体积模型。清楚了解CCJ的关键解剖结构和形态测量学对于该过渡区域疾病的诊断、分类和治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e23/7549867/9d6f55ebe97d/cureus-0012-00000010364-i01.jpg

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