Correlation of uncinate process and various vertebral body structures in adolescents: three-dimensional reconstruction based on CT images

doi:10.3969/j.issn.2095-4344.2017.03.016

Chinese Journal of Tissue Engineering Research ›› 2017, Vol. 21 ›› Issue (3): 412-417.doi: 10.3969/j.issn.2095-4344.2017.03.016

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Correlation of uncinate process and various vertebral body structures in adolescents: three-dimensional reconstruction based on CT images

Wang Xing^{1, 2}, Zhang Shao-jie^{1, 2}, Shi Jun³, Li Xiao-he¹, Liu Ying¹, Li Zhi-jun^{1, 2}, Hou Er-fei¹, Chen Jie¹, Wang Wei⁴

¹Department of Human Anatomy, Basic Medical College, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China; ²Digital Medical Center, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China; ³Department of Physiology, Basic Medical College, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China; ⁴Department of Emergency, Inner Mongolia People’s Hospital, Hohhot 010017, Inner Mongolia Autonomous Region, China

Revised:2016-11-08 Online:2017-01-28 Published:2017-03-14
Contact: Li Zhi-jun, Professor, Doctoral supervisor, Department of Human Anatomy, Basic Medical College, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China; Digital Medical Center, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China Shi Jun, Associate professor, Master, Department of Physiology, Basic Medical College, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China
About author:Wang Xing, Master, Lecturer, Department of Human Anatomy, Basic Medical College, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China; Digital Medical Center, Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia Autonomous Region, China
Supported by:
the National Natural Science Foundation of China, No. 81260269, 81560348, 81660358; the Science Research Funding Project of the Inner Mongolia Autonomous Region Universities, No. NJZC16108; the Science and Technology Project of Inner Mongolia Medical University, No. 2015YKDKJBW03; the Open Laboratory Foundation of Inner Mongolia Medical University, No. 2016ZN24; the Scientific Research Fund of Inner Mongolia Autonomous Region People’s Hospital, No.2015067

Abstract

Abstract:

BACKGROUND: With the change of modern living habits, the incidence of cervical disease and cervical related diseases is increasingly at younger age. Based on this feature, the discussion of the relationship between the cervical spine and vertebral body as well as regular feature can provide theoretical basis for early diagnosis, prevention and treatment of cervical spondylosis.

OBJECTIVE: To analyze the correlation structure of the cervical vertebra uncinate process with the vertebral body and intervertebral foramen among adolescents.

METHODS: A total of 66 cases without injuries, neurological symptoms or signs of 6 to 20 years old were scanned with multi-row thin-slice spiral CT from C₁-T₁. The original data were loaded in DICOM format into three-dimensional reconstruction software for measurement and statistical analysis.

RESULTS AND CONCLUSION: (1) In addition to uncinate process height and vertebral body height, the uncinate process spacing, uncinate base width and diameter between the vertebrae and a uncinate process base radius vector length and vertebral bodies were positively correlated (P < 0.05). (2) Uncinate high uncinate base long uncinate base width and height between the foramen in addition to the uncinate process had a positive correlation with the length of the substrate (P < 0.05). (3) In conclusion, there is a certain correlation in juvenile cervical uncovertebral joint between the uncinate process and vertebral body and intervertebral foramen. With the growth of age, cervical activity is increased and the uncinate hyperplasia, trauma, and fracture can oppress spinal nerve within the intervertebral foramen to cause corresponding nerve root type of cervical spondylosis.

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: Adolescent, Cervical Vertebrae, Tissue Engineering

CLC Number:

R318

Wang Xing, Zhang Shao-jie, Shi Jun, Li Xiao-he, Liu Ying, Li Zhi-jun, Hou Er-fei, Chen Jie, Wang Wei. Correlation of uncinate process and various vertebral body structures in adolescents: three-dimensional reconstruction based on CT images[J]. Chinese Journal of Tissue Engineering Research, 2017, 21(3): 412-417.

Figures/Tables 4

2.4 钩突间距与椎体上横径间的相关性分析结果钩突间距与椎体上横径经Pearson检验得出r=0.212，P < 0.000，二者间存在明显正相关性，说明椎体横径随着年龄和椎序的递增逐渐增宽的同时，钩突间距随之增宽，这也符合颈椎椎体的发育规律(表1，2，图6)。 2.5 钩突基底长与椎体上矢径间的相关性分析结果钩突基底长与椎体上矢径经Pearson检验得出r=0.248，P < 0.000，二者间存在明显正相关性，说明椎体矢径随着年龄和椎序的递增逐渐增加的同时，钩突基底长同样也随之增长，两者间密切联系，这也符合颈椎椎体的发育规律(表1，2，图7)。 2.6 钩突基底宽与椎体上横径间的相关性分析结果钩突基底宽与椎体上横径经Pearson检验得出r=0.229，P < 0.000，二者间存在明显正相关性，说明椎体横径随着年龄和椎序的递增逐渐增宽的同时，钩突基底宽也随之增宽，两者间在颈椎受力和发育过程中紧密联系(表1，2，图7)。 2.7 钩突高与椎间孔宽和高的相关性分析结果钩突高与椎间孔高经Pearson检验得出r=0.282，P < 0.000，二者间存在明显正相关性；钩突高与椎间孔宽经Pearson检验得出r=0.012，P=0.679 >0.05，二者间并无相关性，说明下位椎体的钩突与上位椎体下缘构成的钩椎关节参与组成椎间孔的前壁，并且也说明钩突的高决定着椎间孔的高度，而与椎间孔的宽度无明显关系(表1，3，图8)。 2.8 钩突基底长与椎间孔宽和高的相关性分析结果钩突基底长与椎间孔高经Pearson检验得出r=0.307，P < 0.000，二者间存在明显正相关性；钩突基底长与椎间孔宽经Pearson检验得出r=0.084，P=0.031< 0.05，二者间存在明显正相关性，说明钩突基底长与椎间孔的高度和宽度均密切联系(表1，3，图9)。 2.9 钩突基底宽与椎间孔宽和高的相关性分析结果钩突基底宽与椎间孔高经Pearson检验得出r=0.289，P < 0.000，二者间存在明显正相关性；钩突基底宽与椎间孔宽经Pearson检验得出r=0.041，P=0.287 > 0.05，二者间并无相关性，说明钩突基底宽与椎间孔的高度有着密切联系，而与椎间孔宽度的关系则不明显(表1，3，图10)。 "

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Correlation of uncinate process and various vertebral body structures in adolescents: three-dimensional reconstruction based on CT images

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