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《The Journal of Bone and Joint Injury》 2003-03
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A Study of Applied Anatomy for Microendoscopy Discectomy

Lin Haibin,Zhang Fahui,Zheng Xiaohui,et al. Department of Orthopaedics,The Second Hospital of Putian,351100  
Objective To provid the anatomica basis for microendoscopic discectomy(MED).Methods The point of bottom edge of bottom 3 spinous process to the upper edge of hypogynous lamina of vertebral arch,The point of outer edge of lamina vertebralis interstice to the line of behind midline,the intervertebral discs to bottom edge of lamina of vertebral arch and the obliquity of physiology were observed on 20 adult cadaver specimens.Results The recation of the point of bottom edge of spinous process with the upper edge of hypogynous lamina of vertebral arch and the relation of intervertebral discs with bottom edge of lamina of vertebral arch were located superior,below and equation in L 3、L 4、L 5.The point of outer edge of lamina vertebralis interstice to the line of behind midline average was 1 1~1 5 cm;the intervertebral discs in the obliquity of arrowy face,the L 3、4 、L 4、5 and L 5S 1 was 8 5°±4°,11°±6 3° and 27 8°±6 9° with obliquity head;the abducent angle of translamintar approach that the L 3、4 is 13°±3°,the L 4、5 was 17°±3 5°,L 5S 1 was 28 8°±6 3°.Conclusion The point of bottom edge of spinous process can be center of operative incision of MED,the translaminar approach located angle with the obliquity of physiology equation.
【CateGory Index】: R687.3
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