颈椎棘上棘间韧带生物力学研究
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A BIOMECHANICAL STUDY OF POSTERIOR CERVICAL LIGAMENTS AND CLINICAL IMPORTANCE
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    摘要:

    为明确颈椎棘上、棘间韧带在维持颈椎稳定性中的作用,选用四具新鲜颈椎尸体标本(C2-T1),建立颈后方棘上、棘间韧带切除生物力学模型,模拟人体颈椎前屈、后伸运动,测量颈椎标本的力学参数变化情况。实验结果表明,切除颈后方韧带结构,使颈椎总体位移加大,轴向刚度减低,倾角增大,C5、C6椎体前缘应变值异常增高,统计学处理差异显著,颈后韧带切除愈多,此趋势愈明显。结论:颈椎棘上、棘间韧带的存在十分重要,它的损伤切除,会使颈椎稳定性能大大降低,可能引发颈椎急、慢性失稳,出现临床症状、畸形。因此,保留颈后棘上、棘间韧带的改良颈椎板成形术较好地解决了此问题。

    Abstract:

    In order to r'eveal the effect of debriding posterior cervical ligaments on the mechanical stability of cervical spines, we performed this experiment in which four cervicalspines of fresh human cadervers were studied(C2-T1). By simulating the normal physical actions of human neck, such as flexion, extension.Sone mechanical were tested before and after removing the posterior cervical ligament elements(the supraspinous ligaments and the interspinous ligaments). The results showed that the compressive stiffness of cervical vertebrae decereased greatly after removing the posterior ligaments, while the strains of which increased abnormally. In contrast to intactstate there were significant difference(p<0.01). At the same time, the total displacements of cervical spines enlarged markedly while vertical compressive stiffness of cervical spines lessend, there were significant differences in comparison with intactspecimens(p<0.01). After incision of the ligaments the slantangle of cervical spines enhanced gradually, the increments were significant, especially. In the flexion state (p<0.01). Conclusion: The mechanical stability of cervical spine reduce after depriving of posterior cervical ligaments. If the figments were injuried, either acute or chronic instability would occur.

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王利,宋卫,姜长明,王以进,王晓丽.颈椎棘上棘间韧带生物力学研究[J].医用生物力学,1999,14(1):50-53

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