髓核摘除和椎弓切除对腰椎节段稳定性和扭转强度影响的生物力学研究
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国家自然科学基金(39400132)


THE LINEAR INSTABILITY AND TORSION STRENGTH OF LUMBER SEGMENTAFTER REMOVAL OF NUCLEUS PULPOSUS OR POST ERIOR STRUCTURE:AN IN VITRO BIOMECHANICAL STUDY
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    摘要:

    分析髓核摘除和后部结构切除对腰椎节段压缩,剪切刚度,扭转强度和刚度影响的即刻效应。8具新鲜青年男性尸体的腰骶椎标本(L1-S1)制成24个脊柱功能单位(FSU),随机分为3组,其中一组行全椎弓切除,一组行椎间盘髓核摘除,另一组作为对照组。对标本先行上下方向的压缩,前后和左右方向的剪切刚度测试,后行扭转刚度和强度测试。结果表明:髓核摘除和椎弓切除后,-腰椎节段的压缩,剪切和扭转刚度及扭转强度均有明显的降低,其中髓核摘除后腰椎的左右剪切刚度和扭转刚度有显著性下降(p<0.05),扭转强度的减少有非常显著性(p<0.01);椎弓切除后腰椎的左右剪切刚度和扭转刚度下降有显著性(p<0.05),压缩刚度,前后剪切刚度,扭转强度的改变有非常显著性(p<0.01)。髓核摘除和椎弓切除后,扭转破坏形式中椎间盘撕裂增加。

    Abstract:

    To understand the blomechanical behavior of lumbar spine after removal of nucleus pulposus (NP)and resection of posterlor structure(PS) by means of measurement of stiffness in compression, shear and torsion, and torsion strength. Materials and Methodst twenty-four FSUs made from eight adult fresh cadaver spine (L1-S1) were divided into three groups randomly. Two groups were removed of NP and PS respectively, and one group was chosen as a control. Each specimen were loaded in compression and shearing, then rotated to rupture. The stiffness of compression, shear and torsion of lumbar FSU were decreased after removal of NP or PS, as well as the torsion strength. The stiffness of shear in left/right and torsion decreased significantly(p<0.05), and the torsion strength decreased sign1ficantly(p<0.01) following removal of NP. After resection of PS, the stiffness of shear in left/right and torsion reduced significantly(p<0.05), and the stiffness of compression and shear in anterioposterlor and torsion strength decreased very significant1y(p<0.01).

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朱青安,张建发,卢海俊,李慧友,李桂兰,刘尚礼,钟世镇.髓核摘除和椎弓切除对腰椎节段稳定性和扭转强度影响的生物力学研究[J].医用生物力学,1998,13(1):1-4

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