Evaluation on Features of Thoracic Vertebrae Rotation and Pedicle of Vertebral Arch Diameter Change with 16 Slice Spiral CT in Patients with Adolescent Idiopathic Scoliosis_West China Medical Journal

Authors：

ZHANG Xueqin ¹ , DENG Kaihong ² , CHEN Guangwen ² , et al. ³

1.Department of Radiology,Beibei Traditional Chinese Medicine Hospital, Chongqing City, Chongqing 400700;2.Department of Radiology,West China Hospital,Sichuan University,Chendu 610041;3. Department of Radiology,the People,s Hospital of Luzhou City,Luzhou Sichuan 64600,China;

Corresponding?author：

Keywords：

脊柱側凸; 青少年; 胸椎; 體層攝影術,X線計算機; 圖像后處理

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摘要:目的:探討16層螺旋CT圖像后處理技術對青少年特發性脊柱側凸的胸椎旋轉和椎弓根徑線變化特點及臨床價值。方法:收集經臨床診治的青少年特發性脊柱側凸20例,運用16層螺旋CT掃描及圖像后處理技術,進行相關CT數據測量統計。結果:(1)脊柱胸椎側凸的頂椎及鄰近椎體均向凸側旋轉、后份向凹側旋轉,以頂椎旋轉最重,且凹側椎弓根徑線小于凸側,與側凸程度及方向具有相關性。(2)上、下終椎椎體旋轉及椎弓根徑線變化則較復雜,其椎體無旋轉或向相反方向旋轉,椎弓根徑線可凸側小于凹側,以上終椎明顯。結論:16層螺旋CT及圖像后處理技術,對顯示青少年特發性脊柱側凸胸椎旋轉及椎弓根徑線變化特征,可提供臨床擬訂手術方案的重要影像學依據。

Citation： ZHANG Xueqin,DENG Kaihong,CHEN Guangwen,et al.. Evaluation on Features of Thoracic Vertebrae Rotation and Pedicle of Vertebral Arch Diameter Change with 16 Slice Spiral CT in Patients with Adolescent Idiopathic Scoliosis. West China Medical Journal, 2009, 24(6): 1418-1421. doi: Copy

1.	馮傳漢,張鐵良,王學謙,等. 臨床骨科學(上、下冊)[M]. 北京:人民衛生出版社, 2004:1810-1821.
2.	高吉昌, 屈金良.青少年特發性脊柱側凸外科治療進展[J].中國矯形外科雜志,2006, 14(13): 965-968.
3.	MACTHIONG JM, AUBIN CE,DANSEREAU J, et al. Registration and geometric modelling of the spine during scoliosis surgery: a compareson study of different preoperative reconstruction techniques and intraoperative tacking systems[J]. Med Biol Eng Comput, 1999, 37:445.
4.	PARSON SL,WATSON SA, BROWN PO.Matrix metallo proteinase [J].1997, 84:160-166.
5.	STEPHEN J T, FRCSC,BONITA JS, et al.Rotations of a helix as a model for correction of the scoliotic spine [J]. Spine,1999,24 (12):1223-1227.
6.	WAFA S,FRANCOIS L,JEANLUC D. Quantification of three dimensional vertebral rotations in scoliosis:What are the true values? [J] Spine,1995,20 (7):546-551.
7.	MARCHESI DG,TRANSFELDT EE,DAVID S, et al. Change in vertebral rotation after Harriton and Luque instrumentation for idiopathic scoliosis[J]. Spine, 1991, 16(10):775-781.
8.	陳立民,姚猛,張承敏,等. 特發性脊柱側凸Cobb’s角與頂椎旋轉關系的研究[J ]. 黑龍江醫學,2002,26(7):490-491.
9.	殷翔,許建中,周強,等. 椎弓根螺釘固定三維矯治特發性脊柱側凸的療效[J]. 第三軍醫大學學報, 2007, 29: 1440-1442.
10.	KIM YJ, LENKE LG, CHO SK, et al.Comparative analysis of pediclescrew versus hook instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis[J]. Spine, 2004, 29: 2040-2048.
11.	KIM Y J, LENKE LG, KIM J, et al. Comparative analysis of pediclescrew versus hybrid instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis[J]. Spine, 2006, 31: 2912981.
12.	海勇,鄒德威,馬華松,等. 特發性脊柱側凸患者胸椎椎弓根的CT測量及其臨床意義[J]. 中國脊柱脊髓雜志,2003,13(5):279-282.
13.	吳宏斌, 鄭啟新, 楊述華,等. 術前CT測量椎體變異對特發性脊柱側彎矯形手術的意義[J]. 中國矯形外科雜志,2009,17(1):68-70.
14.	張永剛,王巖,劉鄭生,等. 數字化三維重建技術定量評估青少年特發性脊柱側彎胸椎椎弓根的形態變化[J]. 中國臨床康復,2005,9(22):27-282.

1. 馮傳漢,張鐵良,王學謙,等. 臨床骨科學(上、下冊)[M]. 北京:人民衛生出版社, 2004:1810-1821.
2. 高吉昌, 屈金良.青少年特發性脊柱側凸外科治療進展[J].中國矯形外科雜志,2006, 14(13): 965-968.
3. MACTHIONG JM, AUBIN CE,DANSEREAU J, et al. Registration and geometric modelling of the spine during scoliosis surgery: a compareson study of different preoperative reconstruction techniques and intraoperative tacking systems[J]. Med Biol Eng Comput, 1999, 37:445.
4. PARSON SL,WATSON SA, BROWN PO.Matrix metallo proteinase [J].1997, 84:160-166.
5. STEPHEN J T, FRCSC,BONITA JS, et al.Rotations of a helix as a model for correction of the scoliotic spine [J]. Spine,1999,24 (12):1223-1227.
6. WAFA S,FRANCOIS L,JEANLUC D. Quantification of three dimensional vertebral rotations in scoliosis:What are the true values? [J] Spine,1995,20 (7):546-551.
7. MARCHESI DG,TRANSFELDT EE,DAVID S, et al. Change in vertebral rotation after Harriton and Luque instrumentation for idiopathic scoliosis[J]. Spine, 1991, 16(10):775-781.
8. 陳立民,姚猛,張承敏,等. 特發性脊柱側凸Cobb’s角與頂椎旋轉關系的研究[J ]. 黑龍江醫學,2002,26(7):490-491.
9. 殷翔,許建中,周強,等. 椎弓根螺釘固定三維矯治特發性脊柱側凸的療效[J]. 第三軍醫大學學報, 2007, 29: 1440-1442.
10. KIM YJ, LENKE LG, CHO SK, et al.Comparative analysis of pediclescrew versus hook instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis[J]. Spine, 2004, 29: 2040-2048.
11. KIM Y J, LENKE LG, KIM J, et al. Comparative analysis of pediclescrew versus hybrid instrumentation in posterior spinal fusion of adolescent idiopathic scoliosis[J]. Spine, 2006, 31: 2912981.
12. 海勇,鄒德威,馬華松,等. 特發性脊柱側凸患者胸椎椎弓根的CT測量及其臨床意義[J]. 中國脊柱脊髓雜志,2003,13(5):279-282.
13. 吳宏斌, 鄭啟新, 楊述華,等. 術前CT測量椎體變異對特發性脊柱側彎矯形手術的意義[J]. 中國矯形外科雜志,2009,17(1):68-70.
14. 張永剛,王巖,劉鄭生,等. 數字化三維重建技術定量評估青少年特發性脊柱側彎胸椎椎弓根的形態變化[J]. 中國臨床康復,2005,9(22):27-282.

West China Medical Journal

Evaluation on Features of Thoracic Vertebrae Rotation and Pedicle of Vertebral Arch Diameter Change with 16 Slice Spiral CT in Patients with Adolescent Idiopathic Scoliosis

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