钉道局部点状固化技术强化椎弓根螺钉固定的生物力学研究
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国家高技术研究发展计划(863计划)(2007AA02Z468)


Biomechanical study on strengthening pedicle screw fixation through partial solidification of track
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    摘要:

    目的探讨钉道局部点状固化技术在体外强化椎弓根螺钉固定的效果。方法选用30个新鲜成年山羊腰椎。每一个椎体一侧椎弓根常规置钉(空白组);另一侧对钉道局部进行点状固化处理后拧入螺钉(实验组)。24h后,随机选取10个椎体行轴向拔出实验,其余20个椎体行周期抗屈实验。结果螺钉最大轴向拔出力(Fmax):空白组(637.60±109.95)N,实验组(816.50±134.88)N;螺钉拔出的能量吸收值:空白组(1.268±0.252)J,实验组(1.631±0.269)J,两组间差异均有统计学意义(P<0.05)。周期抗屈试验中,实验组的螺钉能够耐受更大的负荷或者在同等负荷下所产生的位移较小。结论钉道局部点状固化技术可以显著增加椎弓根螺钉固定的稳定性,为临床解决螺钉松动问题提供了新的研究方向,具有较好的临床应用前景。

    Abstract:

    Objective To evaluate the effect by partial solidification of track on strengthening pedicle screw fixation in vitro. Methods 30 fresh adult goat lumbar vertebrae were harvested. Usual fixation of pedicle screw was given to one side of each lumbar vertebrae (blank group),and partial solidification of track before fixation of pedicle screw was given to the other side (experiment group). 10 lumbar vertebrae were selected randomly followed by axial pullout test and periodical bending resistance test was performed on the other 20 lumbar vertebrae in 24 hours after the fixation.R esults: The maximum axial pullout strength is (637.60±109.95) N in blank group and (816.50±134.88) N in experiment group; energy absorption value is (1.268±0.252) J in blank group and (1.631±0.269) J in experiment group. There is significant difference between two groups (P<0.05). The screws in experiment group can resist more loading or reduce fewer shifts under the same loadings compared with screws in blank group in periodical bending resistance test. Conclusions: Partial solidification of track can significantly strengthen the stability of pedicle screw fixation and provide a novel clinical method to solve loosing of screws. It has a favorable perspective in clinical application.

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刘达,雷伟,吴子祥,杨彬奎,张伟.钉道局部点状固化技术强化椎弓根螺钉固定的生物力学研究[J].医用生物力学,2008,23(4):306-310

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