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中国现代手术学杂志  2018, Vol. 22 Issue (4): 263-265    DOI: 10.16260/j.cnki.1009-2188.2018.04.006
  临床论著 |
小关节、椎间孔形态变化与棘突撑开的相关性研究#br#
曾广军,郭孝军,文汉林
湖北省天门市第一人民医院骨科,天门 431700
The Morphological Changes of Facet Joint and Intervertebral Foramen Associated with Distraction of Spinous Process#br#
ZENG Guangjun, GUO Xiaojun, WEN Hanlin#br#
Department of Orthopedics, Tianmen First People's Hospital, Tianmen 431700, Hubei, China
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摘要 [摘要]目的探讨小关节、椎间孔形态变化与棘突撑开的相关性,以期为临床脊柱疾病治疗提供有效依据。方法使用3具存在不同程度腰椎退行性变新鲜尸体作为标本,暴露出关节突周围关节囊韧带和棘间韧带, 撑开L3~L4、 L4~L5棘突, 比较不同撑开高度时椎间孔高度和宽度以及小关节位移的改变。结果在撑开2 mm、4 mm后椎间孔高度和小关节位移较原始状态均有明显改善(P<0.05);椎间孔宽度上撑开2 mm后较原始状态无统计学差异(P>0.05),而在撑开4 mm后椎间孔宽度较原始状态差异有统计学意义(P<0.05)。结论撑开棘突可有效改善小关节位移,增加椎间孔高度,但对椎间孔宽度的改善需足够的距离才有效。

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曾广军
郭孝军
文汉林
关键词:  小关节  椎间孔  棘突
    
Abstract: Abstract:ObjectiveTo explore the correlation between the morphological changes of facet joint and intervertebral foramen and spinous process distraction, and to provide effective evidence for clinical treatment of spinal diseases.MethodsThe specimens with different degrees of lumbar vertebral regression from 3 fresh corpses were used and expose the capsule and interspinous ligaments around the articular process. The spinous processes of L3L4 and L4L5 were distracted. The different height of distraction and the changes of the height and width of the intervertebral foramen were compared.ResultsCompared with the original state, both the height of intervertebral foramen and the displacement of the facet joint after distraction of 2 mm and 4 mm were improved significantly (P<0.05). There was no statistical difference in the width of intervertebral foramen between the original state and distraction of 2 mm (P>0.05), but the width of intervertebral foramen showed obviously improvement after distraction of 4 mm than that of original state (P<0.05).ConclusionThe distraction of the spinous process can improve the displacement of facet joint and increase the height of intervertebral foramen effectively, but the sufficient distance is the necessary to improve the width of intervertebral foramen.

Key words:  facet joints    intervertebral foramen    spinous process
               出版日期:  2018-08-26      发布日期:  2018-10-23      期的出版日期:  2018-08-26
ZTFLH:     
  R683.2  
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引用本文:    
曾广军, 郭孝军, 文汉林. 小关节、椎间孔形态变化与棘突撑开的相关性研究#br#[J]. 中国现代手术学杂志, 2018, 22(4): 263-265.
ZENG Guangjun, GUO Xiaojun, WEN Hanlin. The Morphological Changes of Facet Joint and Intervertebral Foramen Associated with Distraction of Spinous Process#br#. Chinese Journal of Modern Operative Surgery, 2018, 22(4): 263-265.
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http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2018.04.006  或          http://www.surgerychina.com/CN/Y2018/V22/I4/263
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[1] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 168 -173 .
[2] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 174 -177 .
[3] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 178 -181 .
[4] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 182 -186 .
[5] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 187 -190 .
[6] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 191 -193 .
[7] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 194 -196 .
[8] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 197 -200 .
[9] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 201 -205 .
[10] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 206 -210 .
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