关键词: 外科, 方法, 颈椎前路扩大减压术, 椎动脉, 颈交感干, 颈椎, 外科学

Abstract: Objective To provide the applied anatomical fundamental data for extensive decompression during anterior cervical approach. Methods Forty-two adult aseptic cadavers whose arteries were affused with red latex were used for observing. The distances of the medial border of bilateral Longus colli muscle (A), the roots of anterior wall of transversal foramen(B), V2 segments of vertebral artery (C), between the medial borders of Longus colli muscle and the root of anterior wall of transversal foramen(D), between V2 segment of vertebral artery and internal wall of transversal foramen(E), between the medial border of superior cervical ganglion(F), middle cervical ganglion(G) and midline were measured. Results The lengths of A,B, and C gradually decreased from caudal location to cephalad location, but the lengths of F and G gradually increased; D was about 7.0 mm and E was about 3.0 mm. Conclusion The sympathetic trunk and vertebral artery injuries can be completely avoided if the root of anterior wall of transversal foramen as anatomical signal in extensive decompression during anterior cervical approach is considered.

Key words: surgical, methods, extensive decompression during anterior cervical approach, vertebral artery, cervical sympathetic trunk, cervical vertebrae, surgery