![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/85e4cfd2-fa10-45ee-8308-b36e788d5f59.jpg)
颈椎的侧块位于椎体的后外侧、椎弓根和椎弓的结合部,由分别向头侧突出的上关节突和向尾侧突出的下关节突组成,左右各一。
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/cb38f236-6b02-44e2-b358-f06e3fabac83.jpg)
Roy-Camille.Internal fixation of the unstable cervical spine by a posterior osteosynthesis with plates and screws[J]. The Cervical Spine, 1989.
进钉点为侧块中心,外斜10°,垂直于侧块,进钉深度为11.3~15.7mm
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/b09f7306-bf89-409f-85fa-54e44599548f.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/fc09f740-0996-4caf-ac35-f69a7b79db4f.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/9003d42a-c19e-49af-8ad8-300d7292216a.jpg)
Jeanneret B, Magerl F, Ward EH, Ward JC. Posterior stabilization of the cervical spine with hook plates. Spine (Phila Pa 1976). 1991 Mar;16(3 Suppl):S56-63.
进钉点为侧块背侧中心内上2-3mm,外斜20~30°,上斜40~60°,进钉深度为13.8~16.0mm
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/b68ebe5a-3a43-44cc-8802-dd71eb5ef48f.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/b0317d08-849b-460d-b6d6-a58ea678958d.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/e018c0e8-8e06-4cc9-a4e3-c4ad2c773ead.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/d66b11bf-ee2a-4716-b1f6-eea24ae42f2b.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/c8d93477-50f9-4d4b-9e3f-c9d529111541.jpg)
Anderson PA, Henley MB, Grady MS, Montesano PX, Winn HR. Posterior cervical arthrodesis with AO reconstruction plates and bone graft. Spine (Phila Pa 1976). 1991 Mar;16(3 Suppl):S72-9.
进钉点为侧块背侧中心内侧1mm,外斜10°,上斜30~40°,进钉深度为16~18mm
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/3a84a24c-ebb5-4740-886e-053462ae7704.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/6067debf-0368-4fab-ad1f-aa780b227edd.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/c94e279e-152c-4616-ad22-c171d71f4ae7.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/cc8eb746-d46c-48d1-acb2-83cf5514b0d1.jpg)
(四)An法
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/8c68a460-f94e-48ec-b5d0-df64752397d4.jpg)
An HS, Gordin R, Renner K. Anatomic considerations for plate-screw fixation of the cervical spine. Spine (Phila Pa 1976). 1991 Oct;16(10 Suppl):S548-51.
进钉点为侧块背侧中心内侧1mm,外斜30~33°°,上斜15~18°,进钉深度为7~18mm
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/00a89016-da30-4844-b6e5-c473f0078f6a.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/7f54beeb-db47-434b-bad7-04ee80e83330.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/4efb4b4c-a6f9-4902-be07-bcd6cd516cb2.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/149e0020-f453-4309-99a7-fd6dbf535a97.jpg)
(五)马迅
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/3420c5cf-9cbd-475c-9595-7f13607bfce4.jpg)
马迅,马景昆,肖德富,等.颈椎关节内固定手术[J].中华骨科杂志, 1996, 16(7) : 455-457.
进钉点为侧块中心,外斜10~15°,水平或者上斜10~30°或向下倾斜30°,进钉深度为12~16mm
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/eb76f922-d484-412d-9230-e32a8df8a0cc.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/2acbc950-5277-45c5-a0b3-f87bebbda0a0.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/c7d91c54-6695-4ae3-91c5-59c9176fd514.jpg)
![下颈椎侧块螺钉内固定技术三维图谱](https://img-a.haoyishu.com/article/content/8612/62990cca-479d-4218-9347-1ed5f8203654.jpg)
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