在II型牙骨折后,带对分段间稳定性的贡献
11Department of Structural Mechanics, Budapest University of Technology and Economics, Budapest, Hungary.
Acta of bioengineering and biomechanics
|July 29, 2024
概括
安德森和阿隆佐II型牙骨折正在破坏稳定,骨折本身是主要因素. 带损伤,特别是垂直交叉带和横带的损伤,也会导致不稳定.
科学领域:
- 生物力学 生物力学
- 整形外科手术 整形外科手术
- 脊髓损伤 脊髓损伤 脊髓损伤
背景情况:
- 安德森和阿隆佐II型牙骨折的治疗仍然存在争议.
- 在II型骨折中,牙关节带的生物机械作用尚不清楚.
研究的目的:
- 为了研究II型牙骨折对椎节结稳定性的生物力学影响.
- 分析孤立和联合带损伤对脊柱旋转的影响.
主要方法:
- 使用了经过验证的C0-C7椎脊柱有限元素模型.
- 在八种伤害条件下模拟曲-延伸,侧向曲和轴向旋转.
- 用固定C7底部对头骨进行规定的旋转.
主要成果:
- 第二种类型的牙骨折显著破坏了椎节的稳定性,特别是在轴旋转时.
- 带破坏导致横向曲中适度的旋转不稳定.
- 垂直交叉带和横横带对稳定性做出了适度的贡献,而关节提供了最小的支.
结论:
- 安德森和阿隆佐II型牙骨折是椎骨不稳定的主要原因.
- 垂直交叉带和横梁带的综合完整性对于防止显著的不稳定性至关重要.
- 关节在稳定II型牙骨折中的脊关节中起到较小的作用.
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