阿塔拉螺丝:安全与强度相遇的地方在后部亚轴部仪器仪表中
Mohammed Hasanain1, Colya N Englisch2, Thomas Tschernig2
1Department of Neurosurgery, Saarland University Medical Center, D-66421 Homburg/Saar, Germany.
Medicine international
|May 17, 2024
概括
阿塔拉螺丝提供了与侧面质量螺丝相似的安全性,并且在后椎固定中比它们更强. 然而,脚螺丝显示出优越的生物力学固定,特别是在C5-C6范围内.
科学领域:
- 整形外科手术 整形外科手术
- 生物机械工程 生物机械工程
- 脊柱融合技术 脊柱融合技术
背景情况:
- 亚轴椎脊柱 (SCS) 的后部固定传统上使用侧面质量螺丝 (LMS),以脚螺丝作为替代方案.
- 新型的阿塔拉螺丝旨在将LMS的安全性与脚螺丝的强度相结合.
研究的目的:
- 为了比较分析亚轴椎 (SCS) 中的阿塔拉螺丝,脚螺丝和侧面质量螺丝 (LMS) 的峰值插入扭矩.
主要方法:
- 用电子扭矩螺丝刀在尸体SCS中测量了阿塔拉螺丝 (n=15),脚螺丝 (n=8) 和LMS (n=7) 的最大插入扭矩.
- 使用标准的外科手术技术和仪器插入螺丝.
主要成果:
- 脚螺丝和阿塔拉螺丝在C3,C4和C7.7处显示了类似的插入扭矩.
- 脚螺丝在C5和C6时表现出明显高于阿塔拉螺丝的扭矩.
- 与LMS相比,从C4到C7的脚螺丝显示出更高的扭矩.
- 阿塔拉螺丝显示出比LMS更高的扭矩,主要是在C7.
结论:
- 与LMS相比,阿塔拉螺丝在后宫固定方面表现出高度依赖的优越稳固性.
- 脚螺丝仍然是生物机械上优越的选择,用于固定C5-C6下轴椎.
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