一种新型寰枢椎后路动态固定系统的稳定性研究

蒋伟宇, 于亮, 马维虎, 赵刘军, 徐荣明, 王以进

中国临床解剖学杂志 ›› 2014, Vol. 32 ›› Issue (1) : 76-79.

中国临床解剖学杂志 ›› 2014, Vol. 32 ›› Issue (1) : 76-79. DOI: 10.13418/j.issn.1001-165x.2014.01.018
临床生物力学

一种新型寰枢椎后路动态固定系统的稳定性研究

  • 蒋伟宇1, 于亮1, 马维虎1, 赵刘军1, 徐荣明1 ,    王以进2
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Stability evaluation of a new posterior atlanto-axial dynamic fixation system

  • JIANG Wei-yu1, YU Liang1, MA Wei-hu1, ZHAO Liu-jun1, XU Rong-ming1, WANG Yi-jin2
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摘要

目的  评价新型寰枢椎后路动态固定系统的稳定性。  方法 8具较新鲜的成人枕颈标本(C0~4),随机分成4组:①完整状态组(A组)、②寰枢椎不稳状态组(B组)、③寰枢椎后路动态固定状态组(C组)和④寰枢椎后路椎弓根螺钉固定状态组(D组)。测量在1.50 Nm的力矩下,寰枢关节前屈/后伸,左/右侧弯和左/右旋转等6种运动方式下的运动范围(ROM)及稳定性指数(Sf值),进行统计学分析。  结果 C组与A组的各方向ROM比较,差异无统计学意义(P>0.05);而C组与D组的各方向ROM比较,差异有统计学意义(P<0.001)。C组与B组和D组的屈伸、侧屈和旋转的稳定性指数(Sf值)比较,差异有统计学意义(P<0.05);C组的屈伸、侧屈和旋转的Sf值最接近完整状态组(A组),差异无统计学意义(P>0.05)。  结论 寰枢椎后路动态固定在重建寰枢关节稳定性上有独特优势,既可维持寰枢椎的活动性,又可达到坚强固定的稳定性,为寰枢椎后路固定提供一种新的选择。

Abstract

Objective To evaluate the stability of a new posterior dynamic fixation system in atlanto-axial spine.    Methods Eight fresh human cadaveric specimens (C0~4) were divided randomly into 4 groups: The intact state group (group A), instable state group (group B), posterior atlanto-axial dynamic fixation group (group C) and posterior atlanto-axial pedicle screw fixation group (group D). The rage of motions C1 relative to C2 by loading 1.50 Nm were measured under the six conditions of flexion/extension, left/right lateral bending and left/right rotation.The obtained data was statistically analyzed.     Results    Under the six conditions, there were no significant differences between group C and group A in ROM (P>0.05), but there were significant differences between group C and group D in ROM (P<0.001). There were significant differences between group C and group B, D in stability index under the conditions of flexion/extension, left/right lateral bending and left/right rotation (P<0.05). However, the stability index of group C was mostly similar to the intact state group.Conclusion    In vivo biomechanical studies show that the new posterior atlanto-axial dynamic fixation has unique superiority in the reconstruction of atlanto-axial stability. It may ideally restore the stability of atlanto-axial joint, as well maintain the atlanto-axial range of motion.It is a new surgical choice for treatment of atlanto-axial instability.

关键词

寰枢椎 / 动态固定系统 / 稳定性 / 生物力学

Key words

Atlanto-axial / Dynamic fixation system / Stability / Biomechanics

引用本文

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蒋伟宇, 于亮, 马维虎, 赵刘军, 徐荣明, 王以进. 一种新型寰枢椎后路动态固定系统的稳定性研究[J]. 中国临床解剖学杂志. 2014, 32(1): 76-79 https://doi.org/10.13418/j.issn.1001-165x.2014.01.018
JIANG Wei-Yu, XU Liang, MA Wei-Hu, DIAO Liu-Jun, XU Rong-Meng, WANG Si-Jin. Stability evaluation of a new posterior atlanto-axial dynamic fixation system[J]. Chinese Journal of Clinical Anatomy. 2014, 32(1): 76-79 https://doi.org/10.13418/j.issn.1001-165x.2014.01.018
中图分类号: R683.2   

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基金

浙江省医药卫生科技计划项目(2011RCB034);浙江省自然科学基金项目(LY02H06001)


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