靠近结合和过渡力学以及在长段脊柱仪器仪表中新型带脚螺丝的作用
Raphael Gmeiner1, Heiko Koller2, Sara Lener1
1Department of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria.
Spine
|March 18, 2025
概括
新的Tether pedicle screw (TPS) 通过分配负荷和软化过渡来减少脊柱形纠正中的近端结合失效风险. 这种创新的构造可以减少螺丝在上部仪器脊椎的松动.
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
- 脊柱仪器仪器仪器仪器仪器仪器
背景情况:
- 成年脊柱形的纠正往往导致近端结节衰竭 (PJK/PJF).
- 为了减轻这些风险,开发了一种新的Tether pedicle screw (TPS).
- 在TPS的特点是螺丝轴和头之间有一个动作带.
研究的目的:
- 分析TPS的生物力学特征在长段胸脊柱仪器仪表中.
- 用TPS来评估近端连接力学和过渡运动模式.
- 评估TPS减少PJK和PJF的潜力.
主要方法:
- 生物机械研究十个人类胸脊椎样本 (T7-L2).
- 三种仪器模式的灵活性测试:标准 (STD),TPS+1和TPS+2.
- 循环加载和螺丝拉出测试,以分析负载分布和应力屏蔽.
主要成果:
- TPS+2组在T9-10时显示出最大的ROM下降,在T8-9.9时影响较小.
- 在最高段 (T7-8) 没有观察到显著的ROM变化.
- 拉出测试表明,TPS+2组的T10终端水平的平均力更大.
结论:
- 与刚性结构相比,TPS有效地将负载分布在相邻的层面上,使过渡变得柔软.
- TPS显示了对上仪器脊椎 (UIV) 的应力屏蔽潜力.
- TPS可能会降低终端级别螺丝松动的风险.
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