期刊文献+

颈椎前路三节段融合与置换混合术的力学特性 被引量:5

Biomechanical characteristics of a three-level cervical disc hybrid construct:An in vitroinvestigation
原文传递
导出
摘要 为研究人体颈椎三节段混合手术后手术节段与相邻节段的运动规律,对7具人体颈椎标本先实施C4-C5前路人工椎间盘置换,再实施C3-C4和C5-C6两节段椎间盘切除术后颈前路植骨融合固定,利用材料力学试验机和非接触式光学测量系统测量各节段的运动信息,比较三节段混合组与完整组、单节段置换组的体外生物力学特性,分析三节段混合术与课题组前期三节段融合术(限制型、滑动型)运动保留能力。结果表明:三节段混合术保留生理活动度能力明显优于三节段融合术(无论限制型或滑动型固定板)。 This article describes the rules of motion of a human cervical disc after a 3-level hybrid construct.7cadaveric cervical spines(C2-T1)were initially tested in intact condition.Then,all patients had a 1-level(C4-C5)total disc replacement(TDR)followed by a 2-level(C3-C4and C5-C6segments)anterior cervical discectomy and fusion(ACDF).The movement differences among the 3-level hybrid construct,the intact disc and the 1-level TDR were compared with the 3-level hybrid construct and previous 3-level fusion data(dynamic and static plating systems).The comparisons show that the 3-level hybrid construct performs better than3-level fusion.
出处 《清华大学学报(自然科学版)》 EI CAS CSCD 北大核心 2014年第5期685-689,共5页 Journal of Tsinghua University(Science and Technology)
基金 "十二五"国家科技支撑计划资助项目(2012BA118B05)
关键词 人工颈椎间盘 颈椎前路融合板 生物力学 混合手术 artificial cervical intervertebral disc anterior cervical plate biomechanics hybrid construct
  • 相关文献

参考文献12

  • 1秦祥华.宁海县中青年不同人群颈椎病发病率的调查研究[J].中国现代医生,2012,50(8):13-15. 被引量:6
  • 2姬洪全,周方,孙宇,刘忠军,陈仲强,党耕町.青年颈椎病的临床特点及手术治疗[J].中国脊柱脊髓杂志,2009,19(2):117-120. 被引量:12
  • 3Barrey C, Campana S, Persohn S, et al. Cervical disc prosthesis versus arthrodesis using one-level, hybrid and two-level constructs: An in vitro investigation [J]. European Spine Journal, 2012, 21:432-442.
  • 4Cardoso M J, Mendelsohn A, Rosner M K. Cervical hybrid arthroplasty with 2 unique fusion techniques [J]. Journal of Neurosurgery : Spine, 2011, 15 : 48 - 54.
  • 5Lee M J, Dumonski M, Phillips F M, et al. Disc Replacement adjacent to cervical fusion: A biomechanical comparison of hybrid construct versus two-level fusion[J]. Spine, 2011, 36(23): 1932-1939.
  • 6Cunningham B W, Hu N B, Zorn C M, et al. Biomeehanical comparison of single-and two-level cervical arthroplasty versus arthrodesis: Effect on adjacent-level spinal [J]. The Spine Journal, 2010, 10(4) : 341 - 349.
  • 7Faizan A, Goel V K, Biyani A , et al. Adjacent level effects of bi level disc replacement, bi level fusion and disc replacement plus fusion in cervical spine-a finite element based study [J]. C2iniacal Biomechanics, 2012, 27(3): 226 - 233.
  • 8尚鹏,刘伟强,Guy R.Fogel,彭江.滑动型与限制型颈椎前路固定板的生物力学实验研究[J].清华大学学报(自然科学版),2007,47(3):432-435. 被引量:3
  • 9沈莹莹,刘伟强,韩大庆,Guy R.Fogel.颈椎前路单节段融合中加压钉和限制型固定板的力学特性[J].清华大学学报(自然科学版),2009(6):888-891. 被引量:1
  • 10Terai T, Faizan A, Sairyo K, et al. Operated and adjacent segment motions for {nsion versus cervical arthroplasty[J]. Clinical Orthopaedics and Related Research, 2011, 469: 682 - 687.

二级参考文献47

共引文献21

同被引文献52

  • 1刘浩,刘熹,石锐,龚民,赵小丹,张箭,张闻力.双节段人工椎间盘置换加融合在多节段颈椎间盘突出症的应用[J].中国修复重建外科杂志,2006,20(4):383-386. 被引量:8
  • 2高志增,曹凯,张志宏,舒勇,韩智敏.前路钢板对脊髓型颈椎病术后脊柱生理曲度恢复的研究[J].江西医药,2007,42(6):485-487. 被引量:2
  • 3Jeong Yoon Park,Kyung Hyun Kim,Sung Uk Kuh,et al. What are the associative factors of adjacent segment degeneration after anterior cervical spine surgery?Comparative study between anterior cer- vical fusion and arthroplasty with 5-year follow-up MRI and CT [J]. Eur Spine, 2013,22(5) : 1078-1089.
  • 4Hilibrand AS,Yoo JU ,Carlson GD,et al. The success of anterior cervical arthrodesis adjacent to a previous fusion [J]. Spine, 1997, 22(14): 1574-1579.
  • 5Matsumoto M, Okada E, Ichihara D ,et al. Anterior cervical decom- pression and fusion accelerates adjacent segment degeneration: comparison with asymptomatic volunteers in a ten-year magnetic resonance imaging follow-up study[J]. Spine, 2010,35 ( 1 ) : 36-43.
  • 6Nabhan A,Ishak B,Steudel WI,et al. Assessment of adjacent-seg- ment mobility after cervical disc replacement versus fusion:RCT with 1 year's results[J]. Eur Spine J, 2011,20(6) :934-941.
  • 7Watanahc S, Inouc N, Yamaguchi T, et M. Three-dimensional kinc- matic analysis of the cervical spine after anterior cervical decom- pression and fusion at an adjacent level:a preliminary report[J]. Eur Spine J, 2012,21(5) : 946-955.
  • 8Millward-Sadler SJ,Costello PW,Freemont AJ,et al. Regulation of catabolic gene expression in normal and degenerate human in- tervertebral disc cells :implications for the pathogenesis of inter- vertebral disc de,,eneration[Jl. Arthritis Res Ther. 2009.11(3):65.
  • 9John Olsewski ,MD et al. Incidence of Adjacent Segment Degener- ation in the Cervical[J]. Spine ,2011,181(8):72.
  • 10Katsuura A,Hukuda S,Saruhasht Y,et al. Kyphotic malalignment after anterior cervical fusion is one of the factors promoting the degenerative process in adjacent intervertebral levels[J]. Eur Spine J, 2001,10(4) : 320-324.

引证文献5

二级引证文献20

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部