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不同外倾角的脊柱椎弓根螺钉内固定效果的生物力学评价 被引量:5

Biomechanical Evaluation of Pedicle Screw Internal Fixation Effects with Different Extraversion Angle
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摘要 目的:研究脊柱椎弓根螺钉并横向牵引装置的把持力与外倾角的关系。方法:将18只成人腰椎干燥标本随机分为三组,每组6只,分别以5°、15°、30°的外倾角打入直径5.5mm的椎弓根螺钉,钉尾用横向牵引装置连接,测定把持力。结果:在5°~30°的范围内,随着外倾角的增加,椎弓根螺钉的把持力增加,但对椎体的应力也增加。结论:在应用经椎弓根螺钉内固定并加用横向牵引装置时,适当增加外倾角,可增大螺钉的把持力,提高固定强度,外倾角过大则易对椎体造成破坏。 Objective: To study the correlations of the pullout strength of pedicle screw with device for transverse traction and extraversion angle.Methods: 18 adulted human lumber vertebrae were randomly divided into 3 groups,6 lumber vertebrae for each group. pedicle screws (diameter 5.5mm)with device for transverse traction were inserted into with extraversion angle 5°,15°,30° for pullout test. Results: The pullout strength were increased when the extraversion angle were augmented from 5o to 30o. meanwhile, the vertebral stress force increased too.Conclusion: Results suggested that the pedicle screws with device for transverse traction might have better fixation effects when extraversion angle were augmented, but the increased stress force might damage vertebrae.
出处 《河北医学》 CAS 2005年第5期433-435,共3页 Hebei Medicine
关键词 外倾角 椎弓根螺钉 横向牵引装置 内固定 生物力学 把持力 Extraversion angle Pedicle screw Device for transverse traction Internal fixation Biomechanics Pullout strength
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  • 1王春,刘卫军.脊柱椎弓根螺钉内固定效果的生物力学评价[J].医用生物力学,1998,13(3):179-184. 被引量:8
  • 2Weinstein JN, Spratt KF ,Spengler D, et al. Spinal pedicle fixation: Reliability and validity of roentgenogram-based assessment and surgical factors on successful screw placement[J].Spine,1998,23:1012-1018. 被引量:1
  • 3Lim TH, Eck JC,An HS et al. Biomechanics of transfixation in pedicle screw instrumentation[J]. Spine,1996,21:2224-2229. 被引量:1
  • 4Lynn G, Mukherjee DP, Kruse RN, et al. Mechanical stability of thoracolumbar pedicle screw fixation: the effect of cross links[J]. Spine, 1997,22:1568-1573. 被引量:1
  • 5Krag MH, Beynnon BD, Pope MH, et al. An internal fixator for posterior application to short segments of the thoracia, lumbar, or lumbosacral spine[J]. Clin Orthop, 1986,203:75-98. 被引量:1

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