数字化人体脊柱的初步临床应用Primary clinical application of digital spine
王岩,刘郑生,肖嵩华,刘保卫,毛克亚
摘要(Abstract)：
目的:根据CT断层扫描数据进行人体脊柱数字化三维重建和测量,并探讨其在脊柱外科的应用。方法:采集55例人体脊柱病变区域的CT断层扫描DICOM格式数据,利用Mimics、3DView软件在计算机上进行病变区域的数字化三维重建、显示和测量,并将其应用于手术计划和设计。结果:特发性脊柱侧弯18例,先天性脊柱侧弯23例,环枢椎骨折脱位3例,脊柱骨折脱位5例,脊柱肿瘤6例,根据数字化骨骼三维重建结果进行三维显示和测量,为手术方案的制定提供帮助,并指导内固定器械的选择和安装。结论:数字化人体脊柱能够精确和直观的反映脊柱的病变,可更好的进行术前计划和准备。
关键词(KeyWords)： 数字化;脊柱;三维重建;CT
基金项目(Foundation):
作者(Author): 王岩,刘郑生,肖嵩华,刘保卫,毛克亚
Email:
DOI:
参考文献(References)：
- 〔1〕 Pomero V,Mitton D,Laporte S,et al.Fast accurate stereoradiographic3D-reconstruction of the spine using a combined geometric and statistic model[J].Clin Biomech(Bristol,Avon),2004,19(3):240~247.
- 〔2〕 Chen YT,Wang MS.Three-dimensional reconstruction and fusion for multi-modality spinal images[J].Comput Med Imaging Graph,2004,28(1~2):21~31.
- 〔3〕 毛克亚,陈继营,毕文志,等.数字化人体骨骼重建和快速骨盆重建成型技术的实验研究[J].中国临床康复,2004,8(23):4728~4729.
- 〔4〕 Parent S,Labelle H,Skalli W,et al.Thoracic pedicle morphometry in-vertebrae from scoliotic spines[J].Spine,2004,29(3):239~248.
- 〔5〕 Dumas R,Steib JP,Mitton D,et al.Three-dimensional quantitative segmental analysis of scoliosis corrected by in situ contouring tech-nique[J].Spine,2003,28(11):1158~1162.
- 〔6〕 Erkula G,Sponseller PD,Kiter AE.Rib deformity in scoliosis[J].Eur Spine J.2003,12(3):281~287.
- 〔7〕 Parent S,Labelle H,Skalli W,et al.Morphometric analysis of anatomic scoliotic specimens[J].Spine,2002,27(21):2305~2311.
- 〔8〕 Polly DW,Potter BK,Kuklo T,et al.Volumetric spinal canal intru-sion,a comparison between thoracic pedicle screws and thoracic hooks[J].Spine,2004,29:63~69.
- 〔9〕 毛克亚,陈继营,郝立波,等.数字化人体骨骼的初步临床应用[J].中国矫形外科杂志,2005,13(1):67~68.