在子轴椎中重新插入和修复螺丝的生物力学评估
Wei-Xin Dong1, Yong Hu2, Ou-Jie Lai1
1Department of Spinal Surgery, Ningbo No.6 Hospital, 1059 East Zhongshan Road, Ningbo, Zhejiang, 315040, People's Republic of China.
BMC musculoskeletal disorders
|May 21, 2024
概括
重新插入亚轴性宫螺丝是可行的,保持固定稳定性. 然而,对于失败的4.0毫米螺丝箱,4.5毫米修复螺丝是不够的.
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
- 脊柱融合技术是指脊柱融合的技术.
背景情况:
- 评估亚轴椎脊柱螺丝的生物力学特性.
- 评估螺丝重新插入和修改对脊柱稳定性的影响.
研究的目的:
- 为了确定重新插入或修改亚轴椎脊柱螺丝的生物力学效应.
- 为了比较原始与修订的螺丝布置的机械性能.
主要方法:
- 第一部分:在30个脊椎中测量了4.0毫米螺丝的最大插入扭矩 (MIT) 和拉出强度 (MPOS),比较了控制和重新插入组.
- 第二部分:在20个脊椎中测试了4.0毫米螺丝的故障,然后插入4.5毫米的修复螺丝,比较MIT和MPOS.
主要成果:
- 与控制器相比,重新插入并没有显著改变最初的螺丝稳定性,尽管重新插入扭矩下降.
- 对于初始和重新插入的螺丝,MIT和MPOS之间有很强的相关性.
- 在失败的情况下,修复螺丝显示了适度的相关性和明显低于原始螺丝的MPOS.
结论:
- 沿着相同的轨迹重新插入亚轴子宫螺丝是生物力学上健全的.
- 4.5毫米的修复螺丝不适合解决之前的4.0毫米螺丝故障在亚轴椎手术.
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