To obtain the relevant morphometry of the lateral mass of the subaxial cervical spine (C3-C7) and to design a series of lateral mass prostheses for the posterior reconstruction of the stability of cervical spine.The computed tomography (CT) scans of healthy volunteers were obtained. RadiAnt DICOM Viewer software (Version 2020.1, Medixant, Poland) was used to measure the parameters of lateral mass, such as height, anteroposterior dimension (APD), mediolateral dimension (MLD) and facet joint angle. According to the parameters, a series of cervical lateral mass prostheses were designed. Cadaver experiment was conducted to demonstrate its feasibility.23 volunteers with an average age of 30.1 ± 7.1 years were enrolled in this study. The height of lateral mass is 14.1 mm averagely. Facet joint angle, APD and MLD of lateral mass averaged 40.1 degrees, 11.2 mm and 12.18 mm, respectively. With these key data, a lateral mass prosthesis consists of a bone grafting column and a posterior fixation plate was designed. The column has a 4.0 mm radius, 41 degrees surface angle and adjustable height of 13, 15, or 17 mm. In the cadaver experiment, the grafting column could function as a supporting structure between adjacent facets, and it would not violate exiting nerve root (NR) or vertebral artery (VA).This study provided detailed morphology of the lateral mass of subaxial cervical spine. A series of subaxial cervical lateral mass prostheses were designed awaiting further clinical application.This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
第一作者机构:[1]Neurosurgery, Xuanwu Hospital Department of Neurosurgery, Bei Jing, China.
通讯作者:
通讯机构:[1]Neurosurgery, Xuanwu Hospital Department of Neurosurgery, Bei Jing, China.[*1]Xuanwu Hospital Department of Neurosurgery, Neurosurgery, Beijing, China
推荐引用方式(GB/T 7714):
Jian Qiang,Liu Zhenlei,Duan Wanru,et al.Subaxial lateral mass prosthesis for posterior reconstruction of cervical spine.[J].JOURNAL OF NEUROLOGICAL SURGERY PART A-CENTRAL EUROPEAN NEUROSURGERY.2023,84(04):316-320.doi:10.1055/a-1739-2488.
APA:
Jian Qiang,Liu Zhenlei,Duan Wanru,Jian Fengzeng&Chen Zan.(2023).Subaxial lateral mass prosthesis for posterior reconstruction of cervical spine..JOURNAL OF NEUROLOGICAL SURGERY PART A-CENTRAL EUROPEAN NEUROSURGERY,84,(04)
MLA:
Jian Qiang,et al."Subaxial lateral mass prosthesis for posterior reconstruction of cervical spine.".JOURNAL OF NEUROLOGICAL SURGERY PART A-CENTRAL EUROPEAN NEUROSURGERY 84..04(2023):316-320