对长侧质量螺丝插入扭矩的研究
Seiya Watanabe1, Kazuo Nakanishi1, Yoshihisa Sugimoto1
1Department of Orthopaedics, Kawasaki Medical School, Kurashiki, Japan.
Surgical neurology international
|April 17, 2024
概括
较长的侧面质量螺丝 (LLMS) 比较短的侧面质量螺丝 (LMS) 提供更强的后宫固定,由更高的插入扭矩证明. 本技术说明评估了LLMS插入扭矩在尾椎融合.
科学领域:
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
- 生物机械工程 生物机械工程
背景情况:
- 评估了一种新的轨迹和长侧质量螺丝 (LLMS) 的插入扭矩,用于尾椎融合.
- 与较短的侧面质量螺丝 (LMS) 相比,LLMS提供了潜在的更强的后部固定.
研究的目的:
- 为了评估LLMS的插入扭矩和轨迹,用于后宫固定.
- 为了比较LLMS与LMS的生物力学特性.
主要方法:
- 在2021-2023年期间,对30名接受后宫LLMS融合 (C3-7) 的患者进行了回顾性分析.
- 评估的插入扭矩,螺丝长度,偏差率和146个插入螺丝 (11个脚螺丝,135个LLMS) 的不良事件.
- 患者的平均年龄为65岁,病理包括伤害,带伤害和位/骨折.
主要成果:
- 对LLMS的平均插入扭矩为64.9cNm,而对于脚螺丝则为105.9cNm.
- 每增加1毫米的螺丝长度,插入扭矩增加约4.4cNm.
- 在LLMS中,平均插入扭矩 (66.1cNm) 比LMS (51.0cNm) 高.
结论:
- 在LLMS中,插入扭矩明显高于LMS,这表明上级后宫固定.
- 这些发现支持LLMS的使用,以提高后椎脊柱融合程序的稳定性.
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