지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 528 - 533 (6page)
이용수
초록· 키워드
오류제보하기
Objective : We sought to examine anatomic variations of the atlas and the clinical significance of these variations. Methods : We retrospectively reviewed 1029 cervical 3-dimensional (3D) CT images. Cervical 3D CT was performed between November 2011 and August 2014. Arcuate foramina were classified as partial or complete and left and/or right. Occipitalization of the atlas was classified in accordance with criteria specified by Mudaliar et al. Posterior arch defects of the atlas were classified in accordance with criteria specified by Currarino et al. Results : One hundred and eight vertebrae (108/1029, 10.5%) showed an arcuate foramen. Bilateral arcuate foramina were present in 41 of these vertebrae and the remaining 67 arcuate foramina were unilateral (right 31, left 36). Right-side arcuate foramina were partial on 18 sides and complete on 54 sides. Left-side arcuate foramina were partial on 24 sides and complete on 53 sides. One case of atlas assimilation was found. Twelve patients (12/1029, 1.17%) had a defect of the atlantal posterior arch. Nine of these patients (9/1029, 0.87%) had a type A posterior arch defect. We also identified one type B, one type D, and one type E defect. Conclusion : Preoperative diagnosis of occipitalization of the atlas and arcuate foramina using 3D CT is of paramount importance in avoiding neurovascular injury during surgery. It is important to be aware of posterior arch defects of the atlas because they may be misdiagnosed as a fracture.
목차
등록된 정보가 없습니다.
참고문헌 (39)
참고문헌 신청
Ahmad FU. / 2014 / Lateral mass of C1 fixation and ponticulus-posticus / World Neurosurg 82:e145~e146
Al-Motabagani MA. / 2006 / Total occipitalization of the atlas / Anat Sci Int 81:173~180
Bailey DK / 1952 / The normal cervical spine in infants and children / Radiology 59:712~719
Cakmak O. / 2005 / Arcuate foramen and its clinical significance / Saudi Med J 26:1409~1413
Currarino G. / 1994 / Congenital defects of the posterior arch of the atlas : a report of seven cases including an affected mother and son / AJNR Am J Neuroradiol 15:249~254
Al-Motabagani MA. / 2006 / Total occipitalization of the atlas / Anat Sci Int 81:173~180
Bailey DK / 1952 / The normal cervical spine in infants and children / Radiology 59:712~719
Cakmak O. / 2005 / Arcuate foramen and its clinical significance / Saudi Med J 26:1409~1413
Currarino G. / 1994 / Congenital defects of the posterior arch of the atlas : a report of seven cases including an affected mother and son / AJNR Am J Neuroradiol 15:249~254
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