Stability evaluation of a new posterior atlanto-axial dynamic fixation system

JIANG Wei-Yu, XU Liang, MA Wei-Hu, DIAO Liu-Jun, XU Rong-Meng, WANG Si-Jin

Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (1) : 76-79.

Chinese Journal of Clinical Anatomy ›› 2014, Vol. 32 ›› Issue (1) : 76-79. DOI: 10.13418/j.issn.1001-165x.2014.01.018

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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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.

Key words

Atlanto-axial / Dynamic fixation system / Stability / Biomechanics

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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

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