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用水泥增强的脚螺丝的故障方式

Adam T Archie¹, Raymond Paul Waldrop², Stanley Kisinde³

¹Department of Orthopaedic Surgery at the Medical College of Georgia at Augusta University, Augusta, GA, 30912, USA.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society

|April 26, 2025

概括

混凝土增强脚螺杆仪器 (CAPSI) 失效发生在26.7%的患者中,通常是由于骨髓缩和螺杆-混凝土-骨接口问题. 这凸显了更好地预测和管理CAPSI构造失败的需要.

科学领域:

脊柱外科手术脊柱外科手术
整形外科手术整形外科手术
生物材料工程生物材料工程

背景情况:

混凝土增强脚螺杆仪器 (CAPSI) 用于在骨质不佳的患者中进行脊柱稳定.
尽管进行了增强,但CAPSI构造仍然可能由于松动,切割或拉出而失败.
了解CAPSI故障模式对于改善患者的治疗结果至关重要.

研究的目的:

确定CAPSI构造中的失败模式和失败率.
为了更好地预测CAPSI构造失败的发生.
为预防和管理CAPSI故障的策略提供信息.

主要方法:

从2010年至2022年间接受CAPSI融合的患者的临床和放射数据的回顾性审查.
对120名患者的分析,809个仪器级别和621个增强脚螺丝.
评估故障模式,包括骨质结节性崩和界面上的光环.

主要成果:

在120名患者中,32名患者 (26.7%) 发生了构造失败.
最常见的失败模式是骨质结节性崩 (20例).
在23例病例中观察到螺丝-水泥-骨接口的环形,其中21例需要修复手术.

结论:

CAPSI构造失败率很高,有26.7%的患者出现失败.
骨髓缩和接口光环与CAPSI构造失败密切相关.
这些发现表明需要改进外科手术技术和监测CAPSI程序.

关键词:

增强水泥增强的方法用水泥增强的脚螺杆仪器仪表仪器仪表.构建失败是构建失败的原因.环球化环球化环球化骨髓缩性崩骨髓缩性崩

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