The anatomic study and surgical technique for canal decompression with "pedicle-plasty" strategy in lumbar burst fractures with pedicle rupture

作者全名："Liu, Zuo-Zhong; Shi, Lei; Yan, Zheng-Jian; Ran, Jian-Hua; Xu, Xi-Yan; Deng, Zhong-Liang"

作者地址："[Liu, Zuo-Zhong] Chongqing Med Univ, Yongchuan Hosp, Dept Orthoped, Chongqing, Peoples R China; [Shi, Lei; Yan, Zheng-Jian; Deng, Zhong-Liang] Chongqing Med Univ, Affiliated Hosp 2, Dept Orthoped, Chongqing, Peoples R China; [Ran, Jian-Hua] Chongqing Med Univ, Basic Med Coll, Dept Anat, Chongqing, Peoples R China; [Ran, Jian-Hua] Chongqing Med Univ, Basic Med Coll, Lab Neurosci & Tissue Engn, Chongqing, Peoples R China; [Xu, Xi-Yan] Chongqing Fifth Peoples Hosp, Dept Orthoped, Chongqing, Peoples R China"

通信作者："Deng, ZL (通讯作者)，Chongqing Med Univ, Affiliated Hosp 2, Dept Orthoped, Chongqing, Peoples R China."

来源：BIOTECHNOLOGY AND GENETIC ENGINEERING REVIEWS

ESI学科分类：MOLECULAR BIOLOGY & GENETICS

WOS号：WOS:000963219300001

JCR分区：Q1

影响因子：6.5

年份：2023

卷号：　

期号：　

开始页：　

结束页：　

文献类型：Review; Early Access

关键词：Burst fractures; spinal canal decompression; anatomy; pedicle approach; pedicle-plasty

摘要："In the treatment of lumbar burst fractures with nerve injury, fusion is often required to rebuild spinal stability, but it can lead to the loss of motor units and increase the occurrence of adjacent segment diseases. Thus, a novel approach of lumbar canal decompression with ""pedicle-plasty"" strategy (DDP) was needed in clincal treatment. Firstly, image measurement analysis, the images of 60 patients with lumbar spine CT examinations were selected to measure osteotomy angle (OA), distance from the intersection of osteotomy plane and skin to the posterior midline (DM),transverse length of the osteotomy plane (TLOP), and sagittal diameter of the outer edge of superior articular process (SD). Secondary, cadaver study, distance between the intermuscular space and midline (DMSM), anterior and posterior diameters of the decompression (APDD), and lateral traction distance of the lumbosacral plexus (TDLP) were measured on 10 cadaveric specimens. Finally, procedure of DDP was demonstrated on cadaver specimens. OA ranged from 27.68 degrees+4.59 degrees to 38.34 degrees+5.97 degrees, DM ranged from 43.44+6.29 to 68.33+12.06 mm, TLOP ranged from 16.84+2.19 to 19.64+2.36 mm, and SD ranged from 22.49+1.74 to 25.53+2.21 mm. DMSM ranged from 45.53+5.73 to 65.46+6.43 mm. APDD were between 10.51+3.59 and 12.12+4.54 mm, and TDLP were between 3.28+0.81 and 6.27+0.62 mm.DDP was successfully performed on cadaveric specimens. DDP, as a novel approach of decompression of burst fractures with pedicle rupture, can fully relieve the occupation and at the same time preserve the spinal motor unit because of no resection of intervertebral discs and no destruction of facet joints,and has certain developmental significance."

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