浙江大学医学院附属第一医院骨科：脊椎创伤（PPT讲稿）Spine Trauma

A Class for Foreign MD Students Spine Trauma Dr Yue Wang 王跃MD,PhD Department of Orthopedic Surgery The First Afliliated Hospital, college of Medicine, Zhe Jiang University 浙江太学医学院附属第一医院骨斛

Spine Trauma Dr. Yue Wang Department of Orthopedic Surgery The First Affiliated Hospital, college of Medicine, ZheJiang University A Class for Foreign MD Students 浙江大学医学院附属第一医院骨科 王 跃 MD, PhD

H Anatomy of the Spine Lateral (Side) Spinal Column Cereal( L onoto Cervical spine, C, Thoencile( Kyphosis) Thoracic Spine, T, 12 Lumbar( Lordosis a Lumbar Spine, L, 5 Sacrum. s. 5. fused Sacral Kyphosis I Coccyx( Tailbone a Coccyx, 3-4, fused

Anatomy of the Spine ◼ Cervical spine, C, ◼ Thoracic Spine, T, 12 ◼ Lumbar Spine, L, 5 ◼ Sacrum, S, 5, fused ◼ Coccyx, 3-4, fused

Vy AP and Lateral View dult 7 cervical vertebrae(CHCvIn Cervical curvature (secondary curvatur 12 thoracic vertebrae(TI-TXIn Thoracic curvature (primary curvature 5 lumbar vertebrae (LF-LV) Lumbar curvature (secondary curvature (5 fused sacral vertebra I-V Sacral/coccygeal curvature (primary curvature 03-4 fused coccygeal vertebra Hv)

AP and Lateral View

RHEa Osteology: The Vertebra The shape of the 7th cervical Spinous process Transverse vertebrae changes process Thoracic Transverse 6th thoracic Vertebral bod 2 3rd lumbar C T Spinal Front view of vertebral column Vertebrae from above

Osteology: The Vertebra ◼ The shape of the vertebrae changes! C T L

The cervical vertebrae spinous process Lateral dura mater cerebrospinal fluid dorsal root" ywvisueyunegtm communicating ramus transverse proces atlas. C1 spinal nerve Transverse foramen vertebral body c3-7 Later axis, C2

The Cervical vertebrae atlas, C1 axis, C2 C3-7

The lumbar spine

The lumbar spine

The thoracic and lumbar vertebrae Superior articular process Transverse process Posterior elements Spinal canal Spinous process T--=--k--=-- Inferior articular process Vertebral Vertebral endplate bodl Superor perior articular process notch Transverse process Pedicle pinous process Antenor Posterior Lamina Vertebral body Inferior articular

The thoracic and lumbar vertebrae

Articular processes Superior Articular Pars Process Pars interarticularis Zygapophyseal Inferior Joint Articular (Facet Joint) Process

Articular processes Superior Articular Process Pars interarticularis Inferior Articular Process Zygapophyseal Joint (Facet Joint) Pars

Arthrology a Intervertebral discs a Fibrocartilaginous joint a Increase in size from c to L a Ratio remains the same a Make up 20-30% of length of column

Arthrology ◼ Intervertebral Discs ◼ Fibrocartilaginous joint ◼ Increase in size from C to L ◼ Ratio remains the same ◼ Make up 20-30% of length of column

M The intervertebral disc zygapophysial joints Anulus fibrosus Nucleus pulposus Intervertebral yer discs hya Two components: nucleus and anulus fibrosus

The intervertebral disc Two components: nucleus and anulus fibrosus