Study design . this study analyzes the mobility of the aorta relatie to the spine in patients with a herniated thoracic disc requiring surgical interention 研究设计:本研究对因胸椎间盘突出而要求手术干预的患者,就其主动脉相对于脊柱的可移动性进行了分析。
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Conclusions : radiculomedullary arteries would not be damaged if intercostal arteries are deligated at the lateral of transversocostal joint or beyond 1cm of the caput costaes on anterior approach . the distance between two adjacent intercostal or lumbar arteries provide a safe window through which a herniated thoracic disc maybe approached . it indicates the least injury of vessels in osteotomy via the posterior approach in the middle of arcus vertebrae and vertebral body 结论:脊柱前路矫形应在根髓动脉分支前,结扎多个节段血管,脊髓血供可以通过后方代偿,能避免累及脊髓根髓动脉产生脊髓损伤;侧前入路应在根髓动脉分支后,经胸、腰段毗邻的动脉之间,椎间盘切除或椎间隙减压伤及根髓动脉出现脊髓损伤机率最小。