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Czasopismo

2010 | 69 | 3 |

Tytuł artykułu

Research of thoracolumbar spine lateral vascular anatomy and imaging

Autorzy

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
This study introduces an anatomical basis for surgeries such as thoracoscopeassisted thoracolumbar spinal anterior interbody fusion in terms of image observing and corpse specimen anatomising. The observation of the 3-dimensional computed tomography (CT) image indicates that segmental arteries are visible and run in the central supersulcus of the corresponding vertebral body’s side, while the branches are invisible. The distances between adjacent segmental arteries in T₁₀/₁₁, T₁₁/₁₂, T₁₂ /L₁, L₁/₂,, and L₂/₃ are 23.35 ± 1.48, 25.61 ± 2.08, 29.12 ± 2.30, 32.53 ± 2.18, and 33.73 ± 2.29 (mm), respectively. And the observation by the thoracolumbar spine side of the adult corpse specimens shows that segmental arteries and veins constantly exist and run in the central supersulcus of the corresponding vertebral body’s side; each segmental artery has some small branches; the zone between the upper and lower segmental arteries form a relatively non-vascular nerve safe zone, where the intervertebral space (disc) locates. The distances between adjacent segmental arteries in T₁₀/₁₁, T₁₁/₁₂, T₁₂ /L₁,L₁/₂,L₂/₃ are 23.34 ± 0.78, 25.54 ± 0.85, 29.11 ± 1.01, 32.82 ± 1.28, and 33.71 ± 1.42 (mm), respectively. The safe zone, with the intervertebral disc as the reference mark, can provide enough operation space for surgeries like thoracoscope-assisted anterior interbody fusion and reducing damage to blood vessels as well as surgical complications. Additionally, the arrangement and distribution of segmental arteries can be clearly displayed on the 3-dimensional CT image and the result is basically consistent with that of corpse specimens. Therefore, the 3-dimensional CT image can be regarded as the reference for video-assisted thoracoscopic surgery plans. (Folia Morphol 2010; 69, 3: 128–133)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

69

Numer

3

Opis fizyczny

p.128-133,fig.,ref.

Twórcy

autor
  • Anatomy Education and Research Institute, Southern Medical University, GuangZhou, China
autor
  • Anatomy Education and Research Institute, Southern Medical University, GuangZhou, China

Bibliografia

  • 1. Bomback DA, Charles G, Widmann R (2007) Video-assisted thoracoscopic surgery compared with thoracotomy: early and late follow-up of radiographical and functional outcome. Spine J, 7: 399–405.
  • 2. Khoo LT, Beisse R, Potulski M (2002) Thoracoscopic-assisted treatment of thoracic and lumbar fractures: a series of 371 consecutive cases. Neurosurgery, 51 (suppl. 5): 104–117.
  • 3. Koshino T, Murakami G, Morishita K, Mawatari T, Abe T (1999) Does the Adamkiewicz artery originate from the larger segmental arteries? J Thorac Cardiovasc Surg, 117: 898–905.
  • 4. Li W, Qiu Y, Wang B (2004) Spinal segmental vessel occlusion on the occurrence and development of disc degeneration effects. J Chinese Spinal Cord, 14: 348–351.
  • 5. Mirovsky Y, Hod Feins R, Agar G (2007) Avoiding neurologic complications following ligation of the segmental vessels during anterior instrumentation of the thoracolumbar spine. Spine, 32: 275–280.
  • 6. Orchowski J, Bridwell KH, Lenke LG (2005) Neurological deficit from a purely vascular etiology after unilateral vessel ligation during anterior thoracolumbar fusion of the spine. Spine, 30: 406–410.
  • 7. Rui Bi-yu, Qiu Y, Zhu Yawen, Wang B, Yu Y, Qian B, Zhu F (2007) Normal human spinal T₅₋₁₂ segmental vascular anatomy and imaging study. Anat Clin, 12: 92–94.
  • 8. Schultheiss M, Kinzl L, Claes L, Wilke HJ, Hartwig E (2003) Minimally invasive ventral spondylodesis for thoracolumbar fracture treatment: surgical technique and first clinical outcome. Eur Spine J, 12: 618–624.
  • 9. Yuan L, Ni GX, Luk KK, Cheung KMC, Lu DS, Hu Y, Dai JX, Wong YW, Lu WW (2005) Effect of segmental artery ligation on the blood supply of the thoracic spinal cord during anterior spinal surgery: a quantitative histomorphological fresh cadaver study. Spine, 30: 483–486.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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