腰椎后部结构的运动学分析
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国家自然科学基金


KINEMATIC ANALYSIS OF POSTERIOR ELEMENT OF LUMBAR SPINE
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    摘要:

    以人体完整腰椎作为实验标本,设计和应用平行光三维运动测量系统,获得各向运动时腰椎后部结构特定点的三维运动参数。通过载荷-位移曲线分析,发现腰椎后部结构重要部位的立体运动规律。右旋时右侧腰4下关节突的相对运动是后移0.6mm;上移1.0mm和右移3.0mm,扩大了腰5神经根管的容积。前屈时,无论那一个腰椎节段,均发生向前、上方的运动,侧向移位较。老年腰椎标本不同节段的主运动轴在X和Z轴不规律更换,加载过程中位移量变化较中青年标本大,这与标本的退变和稳定性变化有关。

    Abstract:

    A whole human lumbar spine was used as experimental specimen,the parallel light 3-D movement measurement system was designed and applied, then 3-D movement parameter of Special point of lumbar spine posterior elements was obtained during varying movement.By means of an analysis of loading-displacement curve,we found regularity in the stereoscopic movement of important region of lumber spine posterior elements. During right rotation the relative motion of right L_4 inferior process of facet joint were 0.6mm (backward)1.0mm(upward) and 3.0mm (right lateralward), it resulted in enlarging the volume of L_5 nerve root canal.While flexional,no matter which lumber spinal section it is,the motion is foreward and upward with a little lateral displacement.The main movement axis of different segment of aged lumbar spine specimen changed not regularly in X and Z axes,the displacement variable were more large than that of young and middle age specimen in loading,due to degeneration and stability of specimen.

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侯筱魁,董凡,赵文成,戴克戎.腰椎后部结构的运动学分析[J].医用生物力学,1996,11(2):65-70

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