颈椎单开门OsteoMed M3钉板内固定椎管扩大成形术的疲劳实验
胡孔和, 靳安民, 段 扬, 刘成龙, 闵少雄, 张 辉, 赵卫东, 吴 强
中国临床解剖学杂志 ›› 2011, Vol. 29 ›› Issue (3) : 335-338.
颈椎单开门OsteoMed M3钉板内固定椎管扩大成形术的疲劳实验
Fatigue experiment on expansive unilateral open-door laminoplasty of the cervical spine with OsteoMed M3 plate and screws
目的 评价在颈椎单开门椎管扩大成形术中使用OsteoMed M3钉板内固定重建颈椎稳定性的效果。 方法 在6具颈椎标本上,分别行后路单开门丝线结扎及OsteoMed M3钉板内固定,在脊柱三维运动试验机上行颈椎前屈后伸疲劳运动试验,观察有无丝线断裂或平板螺钉脱出、断裂现象,如有则停止试验并记录发生时的周期。 结果 丝线结扎组的试验显示所有标本均出现部分缝合的关节囊韧带撕裂、门轴侧易活动,甚至关节囊撕裂、丝线脱落及再关门;而在 OsteoMed M3钉板内固定组不损伤关节囊,试验显示未出现钢板螺钉松动、断裂,未出现再关门现象。 结论 在颈椎单开门椎管扩大成形术中应用OsteoMed M3钉板内固定具有良好的生物力学性能,能重建颈椎稳定性,可满足颈椎后路手术的要求。
Objective To evaluate the effects of OsteoMed M3 titanium plate and screws on the initial stability of cervical vertebrae after expansive unilateral open-door laminoplasty. Methods OsteoMed M3 plate and screws and silk ligation were used for an simulated expansive unilateral open-door laminoplasty in six fresh human cervical spine specimens respectively,and fatigue experiment were measured in positions of flexion and extension on three-dimension motional stability test. The cessation of testing would be and the incidence of thread rupture and of loosening of thread and plate and screws were recorded. Results Partial rupture of joint capsule and easy move of the hinge side were seen in all of the specimens in the silk ligation. It were easily seen that rupture of joint capsule and cast of silk thread and reclose of the opened laminate as clinical widely used device for suture of joint capsule. There was no trauma on joint capsule in the OsteoMed M3 plate and screws, and no plate and screw loosening and rupturing and no reclose of the opened laminate. Conclusions Unilateral open-door laminoplasty using OsteoMed M3 titanium plate and screws fixation is good for posterior cervical surgery because of its biomechanical advantage of maintaining signi?cant stabilization of the spine.
Expansive laminoplasty / Internal fixation /   / Fatigue experiment
[1] Shibuya S, Komatsubara S, Oka S, et al. Differences between subtotal corpectomy and laminoplasty for cervical spondylotic myelopathy
[J]. Spinal Cord,2010,48(3):214-220.
[2] 胡孔和,靳安民,吴 强,等. 颈椎单开门OsteoMed M3钉板内固定椎管扩大成形术的临床应用
[J]. 南方医科大学学报,2009,29(3) :491-493.
[3] 胡孔和,吴 强,李康华,等. 人工颈椎间盘置换术后邻近下位关节突关节压力变化的生物力学研究
[J]. 中国临床解剖学杂志,2009,27(4):474-476.
[4] Yang SC, Yu SW, Tu YK, et al. Open-door laminoplasty with suture anchor fixation for cervical myelopathy in ossification of the posterior longitudinal ligament
[J]. Journal of Spinal Disorders and Techniques,2007,20:492-498.
[5] 黄必留,李书纲,邓启成,等. 颈椎后路不同开门术式的生物力学评价
[J]. 中国临床解剖学杂志,2007,25(5):595-597.
[6] Petraglia AL, Srinivasan V, Coriddi M, et al. Cervical laminoplasty as a management option for patients with cervical spondylotic myelopathy: a series of 40 patients
[J]. Neurosurgery,2010,67(2):272-277.
广东省医学科研基金(A2009678)
/
〈 |
|
〉 |