Biomechanics of the motion compensation of the adjacent segments after double cervical segment fusion

ZHOU Wen-Yu, BAI  Bei, LI Zhen-Yu, GU Hong-Sheng

Chinese Journal of Clinical Anatomy ›› 2010, Vol. 28 ›› Issue (4) : 442.

Chinese Journal of Clinical Anatomy ›› 2010, Vol. 28 ›› Issue (4) : 442.

Biomechanics of the motion compensation of the adjacent segments after double cervical segment fusion

  • ZHOU Wen-yu, BAI Bo, LI Zhen-yu, et al.
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Abstract

Objective To explore the motion compensation features of the lower adjacent segments after the procedure of double cervical segment fusion through biomechanic test. Methods Fresh specimens of human cervical spine were used in this study. Double segment fusion surgery of cervical 3-5, 4-6 or 5-7 vertebrae were simulated under the ideal non-destructive state. The effects of fusion procedure on the motion of the lower segments were analyzed under the movement conditions of flexion, extension and lateral bend.  Results Every kind of fusion method would effect on the motion range of the lower adjacent vertebrae at the different degree, with about 20% motion compensation between the fused and adjacent segments. Conclusions The motion of the lower segments will be disturbed after the double cervical segments fusion, which will increase the incorrect compensation and cause the degeneration of adjacent segment after the fusion.

Key words

Cervical spine / Fusion / Biomechanics / Motion compensation

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ZHOU Wen-Yu, BAI  Bei, LI Zhen-Yu, GU Hong-Sheng. Biomechanics of the motion compensation of the adjacent segments after double cervical segment fusion[J]. Chinese Journal of Clinical Anatomy. 2010, 28(4): 442

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