›› 2012, Vol. 43 ›› Issue (2): 236-239.doi: 10.3969/j.issn.0529-1356.2012.02.016

• 解剖学 • 上一篇    下一篇

骶骨纵形骨折后路钢板固定置钉的应用解剖

蔡军辉; 张力成; 杨国敬; 张雷; 刘敏; 王伟良*   

  1. 温州医学院附属第三医院创伤骨科,浙江 温州 325000
  • 收稿日期:2011-09-26 修回日期:2011-11-25 出版日期:2012-04-06
  • 通讯作者: 王伟良

Applied anatomy of the screw placement of the posterior internal fixation with a steel plate for vertical sacral fractures

  1. Department of Orthopedics and Trauma, the Third Affiliated Hospital of Wenzhou Medical Collage, Zhejiang Wenzhou 325000,China
  • Received:2011-09-26 Revised:2011-11-25 Online:2012-04-06
  • Contact: WANG Wei-liang

关键词: 骶骨纵形骨折, 后路钢板内固定, 置钉, 应用解剖,

Abstract: Objective To provide basic data of the screw channel for the clinical application of the posterior internal fixation with a steel plate for vertical sacral fractures through the anatomic measurement of the sacrum.Methods According to the requirement of the screw channel of the sacral posterior internal fixation with a steel plate, the inserting sites were determined on 20 cases of the selected adult sacrum specimens: point a at the in lateral side of S1 articular process, point b at the downside of S1 articular process, points c, d and e of S2, S3 and S4 along the imaginary line between point a and the top edge of S4 dorsal sacral foramina, respectively, at the midpoint of the line between adjacent dorsal sacral foraminas. The distances between inserting sites were af, bg, ch, ci, dj and ek, respectively; the lengths of inside screw channels were A1, A2, B, C, D and E, respectively; the lengths of outside screw channels were F, G, H, I, J and K, respectively and the angles of outside screw channels were Ⅰ, Ⅱ, Ⅲ, Ⅳ, Ⅴand Ⅵ, respectively. Results A1, A2 and B values were (31.70±3.54)mm, (35.59±4.50)mm and (27.83±3.80)mm, respectively; F, G, H, I and J values were (43.68±5.11)mm, (30.10±4.00)mm, (27.66±3.33)mm, (23.51±3.26)mm and (18.72±4.18)mm,

Key words: Vertical sacral fracture, Posterior internal fixation with steel plate, Screw placement, Applied anatomy, Human

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