在1级,2级和3级宫椎间盘关节整形术后面部关节负荷:尖与基板基板的比较
Jason M Cuellar1, Todd Lanman1, Nicole Mottole2
1Cedars-Sinai Spine Center, Los Angeles, CA, United States.
North American Spine Society journal
|March 17, 2025
概括
使用尖基板的多层子宫椎间盘关节整形可以减少相对完整的脊柱相比,面部关节的负荷. 基基板通常在各种植入级别的面面力中没有显著变化.
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
- 生物材料科学是生物材料的科学.
背景情况:
- 面关节负荷对于脊柱的稳定性和功能至关重要.
- 人工磁盘更换的目的是恢复运动,同时尽量减少对邻近结构的不良影响.
- 了解不同植入物设计的生物力学影响对于手术决策至关重要.
研究的目的:
- 在宫椎间盘关节整形术后调查面接触力.
- 为了比较尖与基底板在面接关节负荷上的影响.
- 为了评估指数,上部和下部外科水平的负荷.
主要方法:
- 人类椎脊柱样本 (C2-C7) 在曲,延伸和横向曲方面进行了测试.
- 在C5-C6,C6-C7和C4-C5级别进行了采用尖或基板的人造磁盘关节整形术.
- 薄膜力传感器测量了侧面力,将其正常化为Max/Min力比,并使用ANOVA进行分析.
主要成果:
- 尖的底板显著降低了1级和3级植入的曲折方面力比.
- 尖的底板减少了面向力比,在延伸为1级和2级的植入.
- 在所有测试条件下,基板通常不会导致面向力比率在统计学上显著的变化.
结论:
- 多层次的宫椎间盘关节整形可以维持或减少侧面负荷.
- 与完整状态相比,三级关节整形通常会降低或不增加面向力比率.
- 在尖和基板之间做出选择需要考虑植入物放置和端板状况.
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