相关实验视频

Updated: Jun 5, 2026

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Published on: August 6, 2019

独立的ALIF与TLIF在退行性脊柱中的相邻细分运动:生物力学研究

Alina Jacob^1,2, Daniel Haschtmann³, Tamás F Fekete³

¹AO Research Institute Davos, Davos, Switzerland.

Global spine journal

|May 14, 2025

概括

在骨质质量不佳的患者中,跨腰部体融合 (TLIF) 和前腰部体融合 (ALIF) 在相邻段的运动中没有显著差异. 这两种手术技术似乎对邻近段变性 (ASD) 影响微不足道.

科学领域:

整形外科整形外科整形外科
脊柱外科手术脊柱外科手术
生物力学生物力学

背景情况:

变形椎间体融合 (TLIF) 常见于退行性腰椎问题.
在TLIF的后部固定可能会加速相邻段变性 (ASD).
螺丝定独立前腰间体融合 (ALIF) 省略后部固定.

研究的目的:

为了比较ALIF和TLIF之间的骨相邻段运动.
为了评估骨矿物质密度 (BMD) 减少的标本中的运动.
评估仪器对相邻段变性风险的影响.

主要方法:

生物机械分析使用16个人类尸体棘与减少的BMD.
测量相邻部分的运动范围 (ROM) 和中立区域 (NZ).
本地状态与后TLIF和后独立螺纹ALIF状态的比较.

主要成果:

在头骨相邻部分的TLIF和ALIF之间绝对ROM或NZ没有显著差异.
融合后观察到相对相邻段ROM的补偿性增加,但在技术之间没有显著差异.
在骨质质量差的情况下,TLIF和独立螺纹ALIF都对邻近段的运动产生了微不足道的影响.

结论:

无论是TLIF还是独立螺纹ALIF,都不会在减少的BMD标本中显著增加骨相邻段的运动.
这两种手术技术似乎对相邻段的运动具有相似的,可以忽略不计的影响.
研究结果表明,在这个患者群体中,由于补偿运动,这两种技术都不会增加ASD风险.

关键词:

邻近的段落退化退化.退行性腰椎病变腰椎病变中立区中立区中立区.运动范围的范围.一个独立的前腰间体融合器.变形形腰椎体内融合

更多相关视频

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

Published on: September 16, 2022

Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion

Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion

Published on: June 16, 2023

相关概念视频

Degenerative Disc Disease I: Introduction

Degenerative Disc Disease I: Introduction

Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...

Degenerative Disc Disease ll: Pathophysiology

Degenerative Disc Disease ll: Pathophysiology

The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...