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[摘要]
目的 通过测量腰椎峡部裂模型上位脊椎间盘压力,研究峡部裂上位脊椎稳定性。方法 实验材料为9具成人新鲜腰椎标本,造成实验模型,通过MTS-858生物力学测试机对正常组及峡部裂组标本进行中心垂直、前屈、后伸及侧屈压力加载,对不同状态椎间盘进行压力测试,分析比较峡部裂组及正常组上位椎间盘压力。结果 峡部裂组上位脊椎(L4/5)间盘压力在中心垂直正压状态下(600、800、1 000 N加载)与正常组椎间盘压力均值比较,P>0.05,无显著性差异,分别增加了1.3%,1.5%,1.7%。前屈15°状态下(300、500、700 N加载)与正常组椎间盘压力均值比较,P均<0.001,有显著性差异,分别增加了20.97%,24.45%,28.79%。后伸15°状态下(300、500、700 N加载))与正常组椎间盘压力均值比较,P<0.001,有显著性差异,分别增加了14.15%,17.86%,24.92%。侧屈15°状态下(300、500、700 N加载)与正常组压力比较,P>0.05,无显著性差异,分别增加了3.54%,2.12%,1.14%。 结论 腰椎峡部裂不仅对同序脊椎具有重要力学影响,而且对上位脊椎同样具有重要力学影响,从而可以影响同序及上位脊椎的稳定性。
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[Abstract]
Objective To study the stability of upper lumbar vertebra in spondylolysis by measuring the upper vertebra pressure on lumbar spondylolysis models. Method Nine freshfrozen human lumbar spinal specimens were used as experimental models. The pressure on upper vertebral discs of lumbar vertebrae was measured by the material testing machine (MTS858 Bionix test system)with extension, flexion and axial, bilateral compression being applied on two groups of specimens: 1) intact spine; 2) lumbar spondylolysis. Results Compared with the intact specimens, the pressure of upper lumbar vertebra in spondylolysis was increased by 1.3%,1.5%,1.7% in axial compression with 600, 800, 1 000 N (the differences were not significant (P>0.05)), by 20.97%,24.45%,28.79% in 15°of extension with 300, 500, 700N (the differences were significant (P < 0.01)), by 14.15%,17.86%,24.92% in 15°of flexion with 300, 500, 700N (the differences were significant (P < 0.01)), by 3.54%,2.12%,1.14% in 15°of bilateral compression with 300, 500, 700N (the differences were not significant (P>0.05)). Conclusions Lumbar spondylolysis has a significant mechanical influence on lumbar spine not only at the involved level but also at the upper adjacent level, which can affect the stability of lumbar spine correspondingly.
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