中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (48): 9066-9069.doi: 10.3969/j.issn.1673-8225.2011.48.034

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

腰椎椎弓根螺钉进钉点的个体化定位

韩今华1，马德春1，白  淼2，陈丽娟3   

  1. 吉林大学第二医院，1骨科二组，2眼底病二组，3骨科四组，吉林省长春市130041
  • 收稿日期:2011-08-15 修回日期:2011-09-10 出版日期:2011-11-26 发布日期:2011-11-26
  • 作者简介:韩今华★，女，1977年生，吉林省长春市人，朝鲜族，吉林大学在读硕士，主要从事护理学研究。 并列第一作者，马德春，女，1966年生，吉林省长春市人，汉族，1987年长春市中医中药大学毕业，主管护师，主要从事护理学研究。 286582787@qq.com

Individual entrance point location for pedicle screw implantation

Han Jin-hua1, Ma De-chun1, Bai Miao2, Chen Li-juan3   

  1. 1Department of Orthopedics, 2Second Department of Ocular Fundus Diseases, 3Fouth Department of Orthopedics, Second Hospital of Jilin University, Changchun  130041, Jilin Province, China
  • Received:2011-08-15 Revised:2011-09-10 Online:2011-11-26 Published:2011-11-26
  • About author:Han Jin-hua★, Studying for master’s degree, Second Department of Orthopedics, Second Hospital of Jilin University, Changchun 130041, Jilin Province, China Ma De-chun, Nurse in charge, Second Department of Orthopedics, Second Hospital of Jilin University, Changchun 130041, Jilin Province, China 286582787@qq.com Han Jin-hua and Ma De-chun contributed equally to this study.

PDF

459

被引次数

10

摘要：

背景：关于椎弓根螺钉植入定位导向技术的研究成为影响置钉成功率的重要因素。
目的：探讨腰椎椎弓根螺钉进钉点的技巧及在基层普及腰椎骨折椎弓根固定的可行性。
方法：第一作者应用计算机检索PubMed数据库及CNKI数据库，探讨不同方法治疗腰椎椎弓根螺钉进钉点的个体化定位在临床应用的安全性和远期疗效。纳入与腰椎椎弓根钉螺进钉点相关的文章，以24篇文献为主重点进行了讨论。
结果与结论：椎弓根螺钉植入3步为定位、定向、定深。定位有Roy-Camille法、Weinstein法、Mager法和Louis法。定向分矢状面角和水平面角。定深临床实践表明椎弓根螺钉占据椎体的80%时较为适宜。以椎板边缘对腰椎椎弓根螺钉进钉点个体化定位方法是可行和可靠的、创伤小、准确率高。

关键词: 腰椎, 椎弓根螺钉, 钉点, 个体化定位, 置钉

Abstract:

BACKGROUND: Implanted positioning of pedicle screws is an important factor for successful pedicle screw implantation.
OBJECTIVE: To investigate the technique of implanting pedicle screws and the feasibility of popularizing the application of pedicle screw fixation.
METHODS: The first author searched PubMed database and CNKI database for articles regarding clinical safety and long-term effect of different methods for entrance point location of pedicle screw implantation. Finally, 24 articles were included in result analysis.
RESULTS AND CONCLUSION: There are three steps for pedicle screw implantation: positioning, orientation, and depth setting. Roy-Camille method, Weinstein method, Mager method and Louis method are used for pedicle screw positioning. Orientation of pedicle screws includes sub-horizontal angle and sagittal angle. It has been proved by clinical practice that the pedicle screw occupying 80% of the vertebral body is appropriate. To ensure the individual entrance point positioning of pedicle screw implantation based on the laminar edge is feasible and reliable with small wound and high accuracy.

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