在1,2,3级椎盘关节整形术后的运动范围
Todd H Lanman1, Jason M Cuellar1, Nicole Mottole2
1Cedars-Sinai Spine Center, 444 S San Vicente Blvd #800 #901, Los Angeles, CA 90048.
North American Spine Society journal
|January 1, 2024
概括
宫椎间盘关节整形术,包括多层次手术,维持或增强植入和相邻的脊柱水平的运动. 这项研究发现,在宫椎间盘置换手术后,运动比较或增加.
科学领域:
- 生物力学 生物力学
- 脊柱外科手术 脊柱外科手术
- 整形外科 整形外科 整形外科
背景情况:
- 在宫椎间盘关节整形术后,对隔离的翻译和旋转运动的研究有限.
- 本研究侧重于单层和多层椎盘关节整形术的结果.
- 了解索引和相邻水平的运动对于设备评估至关重要.
研究的目的:
- 研究单层和多层椎盘关节整形术对脊柱运动的影响.
- 为了将索引和相邻水平的运动范围与完整的脊柱状况进行比较.
- 假设宫椎间盘置换导致可比或改进的运动.
主要方法:
- 七个人类椎脊柱 (C2-C7) 在曲,延伸和横向曲下进行了测试.
- 测试包括完整的,1级,2级和3级宫椎间盘关节整形条件.
- 3D运动传感器记录了C4,C5和C6的转移和旋转,以便进行比较.
主要成果:
- 单层关节整形增加了延伸和横向曲的翻译;旋转运动减少了曲.
- 双层关节整形显示了所有层次和负载的翻译增加,旋转升高或可比.
- 三级关节整形在所有模式和升高或可比的旋转中都显示了统计学上增加的翻译.
结论:
- 多层次的宫椎间盘关节整形术导致了可比或增加的整体运动.
- 该研究的结果支持这样一个假设:宫椎间盘置换可以保持或增强脊柱的移动性.
- 先进的传感器允许精确测量运动,而不会过度约束椎.
相关概念视频
01:28Articulations of the Vertebral Column
In addition to being held together by the intervertebral discs, adjacent vertebrae also articulate with each other at synovial joints formed between the superior and inferior articular processes called zygapophysial joints (facet joints). These are plane joints that provide for only limited motions between the vertebrae. The orientation of the articular processes at these joints varies in different regions of the vertebral column and serves to determine the types of motions available in each...
00:51Anatomical Movements
Anatomical movements refer to the various actions or motions that can be performed by the body's joints and muscles. These movements are described using specific terms to provide a standardized way of discussing and understanding the range of motion at different joints.
Here are some common anatomical movements:
Flexion and extension motions are in the sagittal (anterior–posterior) plane of motion. These movements take place at the shoulder, hip, elbow, knee, wrist, metacarpophalangeal,...
Here are some common anatomical movements:
Flexion and extension motions are in the sagittal (anterior–posterior) plane of motion. These movements take place at the shoulder, hip, elbow, knee, wrist, metacarpophalangeal,...