模拟回骶关节后固定术时骶尾部(尾骨)背外侧肌的结构特征

G. Filimonova, O. V. Diuriagina, N. I. Antonov
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摘要

椎旁肌肉在脊柱畸形和退行性疾病的发展中起重要作用。动物实验研究了回骶关节(骶骨-髂关节)后路关节融合术对杂种犬骶尾肌(尾骨)背外侧肌形态特征的影响。使用钛笼,然后用外固定装置稳定30天。后路关节融合术的优点包括切口小,出血量少,保留大部分韧带的完整性,固定时间短。然而,在动物实验模拟关节融合术时,实验结束时发现间质间隙纤维化,邻近肌肉脂肪浸润,分别占完整参数的240%和310%。此外,观察到动脉连接血管膜纤维化。当对脊柱进行手术干预时,应减少对肌肉的创伤,以尽量减少脊柱旁肌肉的纤维形成和脂肪累及。
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Hystostructure Features of the Sacra-Caudal (Coccygeal) Dorsal Lateral Muscle when Modeling Posterior Arthodesis of the Ileosacral Joint
Paravertebral muscles play an important role in the development of deformities and degenerative diseases of the spine. The impact of posterior arthrodesis of the ileosacral articulation (sacrum-iliac joint) on the morphological characteristics of the m. sacrocaudalis (coccygeus) dorsalis lateralis of mongrel dogs was studied in animal experiments. Titanium cages were used, followed by stabilization with an external fixation device for 30 days. The advantages of posterior arthrodesis include a small incision, minimal blood loss, preservation of the integrity of most ligaments, and a short immobilization period. Nevertheless, when modeling arthrodesis experimentally in animals, fibrosis of the interstitial space and fatty infiltration in the adjacent muscle were revealed at the end of the experiment, which amounted to 240% and 310% of the intact parameters, respectively. In addition, fibrosis of the vessel membranes of the arterial link was observed. When performing surgical interventions on the spine, traumatization of the muscles should be reduced in order to minimize fibrogenesis and fatty involution of the paravertebral muscles.
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