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儿童颈椎神经弓中心软骨联合形态发育的数字解剖学特征

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背景:随着国内外学者对儿童颈椎相关疾病重视程度的提升,探知不同年龄儿童颈椎形态发育解剖学指标及变化规律的需求不断提高.目的:通过测量1-6岁儿童C2-C7神经弓中心软骨联合解剖学位置指标,探讨及分析儿童不同年龄和椎序间形态发育的变化规律.方法:回顾性收集了省级三甲医院1-6岁儿童正常颈椎CT影像资料160例,按照1周岁为一个年龄组分6组,将连续扫描的颈椎断层影像原始数据导入Mimics 16.0软件中,在二维图像窗口下,选择Measurements测量工具分别在冠状面及横断面上对颈椎C2-C7节段神经弓中心软骨联合的解剖学位置指标进行测量和分析.结果与结论:①C2-C7神经弓中心软骨联合两侧间距离、神经弓中心软骨联合左右侧与横突的距离均随着年龄增长逐渐增大,各颈椎节段椎骨整体发育较神经弓中心软骨联合骨化速度快;②C2-C7神经弓中心软骨联合两侧横断面夹角随年龄增长逐渐增大、神经弓中心软骨联合左右侧与椎体前后缘的夹角均逐渐减小,颈椎节段神经弓中心软骨联合两侧趋于向椎弓部位生长,主要促进椎弓的生长发育;③除C7以外,其他椎段随着颈椎下行神经弓中心软骨联合两侧冠状面夹角变化较小,颈椎的神经弓中心软骨联合更偏向于纵向生长与骨化;④C7的神经弓中心软骨联合位置变化与其余颈椎节段有明显差异;⑤儿童C2-C7神经弓中心软骨联合位置解剖学指标在不同年龄段和不同椎体之间有明显发育规律,且这些规律有助于儿童颈椎疾病的临床诊断与治疗.
Digital anatomical characteristics of morphological development of neurocentral synchondrosis of cervical vertebra in children
BACKGROUND:With the increasing attention of scholars at home and abroad to children's cervical spine-related diseases,the demand for exploring the anatomical indicators and changes of cervical spine morphology and development in children of different ages is increasing.OBJECTIVE:To explore and analyze the morphological changes of children with different ages and vertebral sequences by measuring the anatomical position indexes of C2-C7 neurocentral synchondrosis in children aged 1-6 years.METHODS:Normal cervical spine CT images were retrospectively collected from 160 children aged 1-6 years at provincial tertiary hospitals.They were divided into six groups according to an age group of 1 year.The raw data of consecutively scanned cervical spine tomography images were imported into Mimics 16.0 software.The positional anatomical indexes of cervical spine segments C2-C7 in coronal and transverse planes were measured and analyzed under the two-dimensional image window by choosing the measurement tools under the toolbar of Measurements.RESULTS AND CONCLUSION:(1)The distance between the two sides of C2-C7 neurocentral synchondrosis and the distance between the left and right sides of neurocentral synchondrosis and the transverse process gradually increased with age.The overall development of vertebrae in each cervical vertebral segment was faster than the ossification of the neurocentral synchondrosis.(2)The cross-sectional angles on both sides of C2-C7 neurocentral synchondrosis gradually increased with age,and the angles between the left and right sides of neurocentral synchondrosis and the anterior and posterior edges of the vertebral body gradually decreased.Both sides of the neurocentral synchondrosis in cervical vertebral segments tended to grow toward the arch site,which mainly promoted the growth and development of the arch.(3)Except for C7,the angle between the coronal planes on both sides of the cervical spine changed little with the descending neurocentral synchondrosis of the cervical spine,and the neurocentral synchondrosis of the cervical spine was more inclined to longitudinal growth and ossification.(4)The neurocentral synchondrosis position changes in C7 were significantly different from those in the rest of the cervical vertebrae.(5)The anatomical indexes of C2-C7 neurocentral synchondrosis position in children have obvious development rules among different ages and vertebral bodies,and these rules are helpful for the clinical diagnosis and treatment of cervical spine diseases in children.

childrencervical vertebraecervical spine diseaseneurocentral synchondrosismorphological development

伊钰营、孙瑞芬、尹兆正、李磊、张凤珍、李梓瑜、李琨、任小燕、王星、张少杰

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内蒙古医科大学研究生院,内蒙古自治区呼和浩特市 010110

内蒙古医科大学第二附属医院影像中心,内蒙古自治区呼和浩特市 010000

内蒙古医科大学基础医学院人体解剖教研室,内蒙古自治区呼和浩特市 010110

内蒙古医科大学数字医学中心,内蒙古自治区呼和浩特市 010110

内蒙古医科大学附属医院内分泌科,内蒙古自治区呼和浩特市 010050

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儿童 颈椎 颈椎疾病 神经弓中心软骨联合 形态发育

2025

中国组织工程研究
中国康复医学会,《中国组织工程研究与临床康复》杂志社

中国组织工程研究

北大核心
影响因子:1.387
ISSN:2095-4344
年,卷(期):2025.29(15)