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脊柱病理对后侧带复合体结构和功能的影响
Bradley Anderson1, Bahar Shahidi2
1Department of Orthopaedic Surgery, The University of California San Diego, 9500 Gilman Dr., MC0863, La Jolla, San Diego, CA, 92093, USA.
Current reviews in musculoskeletal medicine
|October 23, 2023
概括
后侧带复合体对于脊柱稳定性至关重要,但其生物力学在脊柱病理学中尚不清楚. 带变化会对脊柱完整性和手术结果产生负面影响,需要对活体进行进一步的研究.
科学领域:
- 脊柱生物力学 脊柱生物力学
- 带复杂的研究研究.
- 脊柱病理学的影响
背景情况:
- 后侧带复合体 (带,间带,上带) 对于减轻脊柱生物力学压力至关重要.
- 关于带健康在脊柱病理和临床结果中的作用的研究有限.
- 本综述全面研究了脊柱病理对后侧带复合体结构,功能和生物力学的影响.
研究的目的:
- 审查脊柱病理对后侧带复合体的影响.
- 了解脊柱带的生物力学特性和临床相关性.
- 突出研究缺口和脊柱带研究的未来方向.
主要方法:
- 关于后部带复合体生物力学现有文献的综述.
- 对尸体研究和有限元素建模的分析.
- 在最近的有限元模型中包含患者特异性解剖学.
主要成果:
- 后侧带复合体对脊柱稳定性贡献了30-40%,根据带特性而有所不同.
- 病理变化和手术固定通常会导致不适应的生物力学变化.
- 带形态变化可以是病理的主要或次要的,影响脊柱完整性和手术成功.
结论:
- 脊柱带的生物机械不适应增加了手术失败和不良临床结果的风险.
- 进一步的研究,特别是对活体的研究,对于理解带适应是至关重要的.
- 通过带研究确定脊柱病理的治疗点是未来的关键方向.
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