椎全盘置换对目标部分和相邻部分运动的影响
Morten Vogt1, Christoph Mehren2, Carsten Hackenbroch3
1Institute of Orthopaedic Research and Biomechanics, Trauma Research Centre Ulm, University of Ulm, Helmholtzstr. 14, 89081 Ulm, Germany.
概括
椎全盘置换 (TDR) 影响治疗和相邻的脊柱段的运动. 两级TDR比单级TDR影响更多的脊柱水平和运动方向,影响整个椎脊柱动力学.
科学领域:
- 脊柱生物力学 脊柱生物力学
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
背景情况:
- 宫融合限制了运动,可能导致相邻部分退化.
- 宫全盘置换 (TDR) 的目的是保持运动.
- 多级TDR对椎脊柱运动学的影响尚未完全理解.
研究的目的:
- 在一级和两级TDR后调查椎脊柱运动和合运动.
- 为了比较TDR在处理和相邻段的动力学效应.
- 评估植入物高度对TDR结果的影响.
主要方法:
- 在人椎脊柱样本的体外生物力学测试 (C4-T1).
- 准静态纯矩负荷 (屈曲/延伸,横向曲,轴旋转) 应用于完整的和TDR植入的脊柱.
- 3D运动跟踪以量化每个脊柱水平的初级和合运动范围 (ROM).
主要成果:
- 一级TDR增加了骨相邻段 (C4-5) 的曲/延伸.
- 两级TDR影响了更多的脊柱水平,治疗段的运动增加.
- 在横向曲过程中,TDR显著减少了合轴旋转在骨相邻段.
结论:
- 宫TDR影响治疗和相邻脊柱段的运动.
- 两级TDR具有比单级TDR更广泛的动力效应.
- TDR改变了椎脊柱的动力学,可能减轻了与融合相关的风险.
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