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：

脊柱侧凸; 青少年; 胸椎; 体层摄影术,X线计算机; 图像后处理

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摘要:目的:探讨16层螺旋CT图像后处理技术对青少年特发性脊柱侧凸的胸椎旋转和椎弓根径线变化特点及临床价值。方法:收集经临床诊治的青少年特发性脊柱侧凸20例,运用16层螺旋CT扫描及图像后处理技术,进行相关CT数据测量统计。结果:(1)脊柱胸椎侧凸的顶椎及邻近椎体均向凸侧旋转、后份向凹侧旋转,以顶椎旋转最重,且凹侧椎弓根径线小于凸侧,与侧凸程度及方向具有相关性。(2)上、下终椎椎体旋转及椎弓根径线变化则较复杂,其椎体无旋转或向相反方向旋转,椎弓根径线可凸侧小于凹侧,以上终椎明显。结论:16层螺旋CT及图像后处理技术,对显示青少年特发性脊柱侧凸胸椎旋转及椎弓根径线变化特征,可提供临床拟订手术方案的重要影像学依据。

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

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1. 冯传汉,张铁良,王学谦,等. 临床骨科学(上、下册)[M]. 北京:人民卫生出版社, 2004:1810-1821.
2. 高吉昌, 屈金良.青少年特发性脊柱侧凸外科治疗进展[J].中国矫形外科杂志,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. 陈立民,姚猛,张承敏,等. 特发性脊柱侧凸Cobb’s角与顶椎旋转关系的研究[J ]. 黑龙江医学,2002,26(7):490-491.
9. 殷翔,许建中,周强,等. 椎弓根螺钉固定三维矫治特发性脊柱侧凸的疗效[J]. 第三军医大学学报, 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,邹德威,马华松,等. 特发性脊柱侧凸患者胸椎椎弓根的CT测量及其临床意义[J]. 中国脊柱脊髓杂志,2003,13(5):279-282.
13. 吴宏斌, 郑启新, 杨述华,等. 术前CT测量椎体变异对特发性脊柱侧弯矫形手术的意义[J]. 中国矫形外科杂志,2009,17(1):68-70.
14. 张永刚,王岩,刘郑生,等. 数字化三维重建技术定量评估青少年特发性脊柱侧弯胸椎椎弓根的形态变化[J]. 中国临床康复,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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