Chinese Journal of Tissue Engineering Research ›› 2019, Vol. 23 ›› Issue (12): 1875-1880.doi: 10.3969/j.issn.2095-4344.1102

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Anatomical measurement of the sacral nailing by digital virtual technology

Jia Wenchao1, Xue Fei2, Feng Wei2, Jia Yanfei2   

  1. 1Graduate School of Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China; 2the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, Inner Mongolia Autonomous Region, China
  • Online:2019-04-28 Published:2019-04-28
  • Contact: Feng Wei, MD, Professor, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, Inner Mongolia Autonomous Region, China Jia Yanfei, Professor, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, Inner Mongolia Autonomous Region, China
  • About author:Jia Wenchao, Master candidate, Graduate School of Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China Xue Fei, Master, Associate chief physician, the Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010030, Inner Mongolia Autonomous Region, China Jia Wenchao and Xue Fei contributed equally to this work.
  • Supported by:

    the Natural Science Foundation of Inner Mongolia Autonomous Region, No. 2017MS0836 (to FW)| the Youth Innovation Foundation of Inner Mongolia Medical University, No. YKD2017QNCX081 (to XF)

Abstract:

BACKGROUND: The surgeons are prone to leak a sacral fracture because of its junction with the spine and pelvis. Misdiagnosis and improper treatment of sacral fracture can cause further nerve injury and later lumbar sacral deformity, and its orthopedic operation is difficult and the curative effect is not as good as fresh fracture. Thereafter, early diagnosis and treatment of sacral fracture are very important.

OBJECTIVE: To carry out digital anatomic study of sacral part placement points using digital virtual technology, so as to provide guidance for clinical treatment.
METHODS: Sixty cases of adult pelvis CT scan (the ratio of men and women was 1:1) were selected randomly. The three-dimensional model was reconstructed by Mimics 16.0 software, and the measured points were selected. Then the related data were measured on the horizontal and sagittal planes, separately.
RESULTS AND CONCLUSION: (1) The midpoint of the interconnections between the lower edge of the L5 and the upper margin of the posterior sacral hole of the S1 was allowed. (2) The midpoint of the line between the lower margin of the sacral hole and the upper margin of the lower sacral posterior orifice, namely the pedicle point of the longitudinal multi scholar, allowed the nail to be placed equally. (3) The differences in the other measurements were insignificant (P > 0.05). (4) To conclude, the digital simulation technique is used to measure the nail point of the sacrum, and the depth and angle of the nailed points of each point can be used as a reference for the treatment of sacral fracture.

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程

Key words: Sacrum, Fractures, Bone, Bone Nails, Dissection, Tissue Engineering

CLC Number: