ANATOMIC RELATIONSHIPS OF THE CERVICOTHORACIC JUNCTION

被引：47

作者：

BAILEY, AS

STANESCU, S

EBRAHEIM, RNA

JACKSON, WT

机构：

[1] MED COLL OHIO,DEPT ORTHOPAED SURG,TOLEDO,OH 43699

[2] MED COLL OHIO,DEPT ANAT,TOLEDO,OH 43699

来源：

SPINE | 1995年 / 20卷 / 13期

关键词：

Bone and soft tissue anatomy; Cervicothoracic function; Cross-sectional anatomy;

D O I：

10.1097/00007632-199507000-00001

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design. This study analyzed the anatomic relationships between bony structures and soft tissues of the cervicothoracic junction. Objectives. To provide composite reference data for intrasegmental and intersegmental gradients of anatomic variation within the cervical-thoracic junction. Summary of Background Data. Because of the risk of soft tissue damage during posterior spinal stabilization, an understanding of bony and soft tissue changes in the cervicothoracic junction is necessary. Methods. Three-hundred-twenty-four cross-sectional spinal segments from nine spines were analyzed to characterize cervicothoracic junctional anatomy. Results. There were predictable cranial-to-caudal alterations in both bone and soft tissue anatomy of the cervicothoracic junction. Neural and vascular structures directly anterior to the lateral mass or transverse process and lateral to the pedicle tend to decrease in frequency, whereas measured parameters of the vertebrae increase in size from C5-T3, except for pedicle dimensions that tend to increase at the C7-T1 junction. Conclusion. The anatomic changes that occur within the cervicothoracic junction are consistent and predictable, and their recognition should lead to a better appreciation of their clinical implications.

引用

页码：1431 / 1439

页数：9

共 8 条

[1]

An H.S., Gordin R., Renner K., Anatomic considerations for plate-screw fixation of the cervical spine, Spine, 16, (1991)

[2]

Ebraheim N.A., An H.S., Jackson W.T., Brown J.A., Internal fixation of the unstable cervical spine using posterior Roy— Camille plates: Preliminary report, J Orthop Trauma, 3, pp. 23-28, (1989)

[3]

Ebraheim N.A., Hoeflinger M.J., Salpietro B., Chung S.Y.M., Jackson W.T., Anatomic considerations in posterior plating of the cervical spine, J Orthop Trauma, 5, pp. 196-199, (1991)

[4]

Heller J.G., Carlson G.D., Abitbol J.-J., Garfin S.R., Anatomic comparison of the Roy-Camille and Magerl techniques for screw placement in the lower cervical spine, Spine, 16, (1991)

[5]

Panjabi M.M., Takata K., Goel V., Et al., Thoracic human vertebrae—Quantitative three dimensional anatomy, Spine, 16, pp. 888-901, (1991)

[6]

Roy-Camille R., Saillant G., Mazel C., Plating of thoracic, thoracolumbar, and lumbar injuries with pedicle screw plates, Orthop Clin, 17, pp. 147-159, (1986)

[7]

Scoles P.V., Linton A.E., Latimer B., Levy M.E., Digiovanni B.F., Vertebral body and posterior element morphology: The normal spine in middle life, Spine, 13, pp. 1082-1086, (1988)

[8]

Stanescu S., Ebraheim N.A., Yeasting R., Bailey A.S., Jackson W.T., Morphometrie evaluation of the cervicothoracic junction: Practical considerations for the posterior fixation of the spine, Spine, 19, pp. 2082-2088, (1994)

← 1 →