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计算骨丧失量经椎弓根打压植骨治疗胸腰椎压缩性骨折的生物力学研究
引用本文:樊道斌,朱敏,甘业春,叶春万,王欣,谢昌宏,吴信忱. 计算骨丧失量经椎弓根打压植骨治疗胸腰椎压缩性骨折的生物力学研究[J]. 中国矫形外科杂志, 2010, 18(8): 654-658
作者姓名:樊道斌  朱敏  甘业春  叶春万  王欣  谢昌宏  吴信忱
作者单位:安徽省巢湖市骨科医院脊柱外科,巢湖市,238000
摘    要:
[目的]探讨用计算骨丧失量的方法经椎弓根打压植骨(transpedicular impacted grafting,TPIG)治疗胸腰椎压缩性骨折的生物力学性能。[方法]将6具成人新鲜尸体胸腰椎标本,模拟正常组、压缩性骨折损伤组、单纯计算骨丧失量TPIG和单纯经椎弓根植骨组(transpedicular grafting,TPG)、计算骨丧失量TPIG+椎弓根固定和TPG+椎弓根固定组,行生物力学实验应力分析,比较各组的椎体和椎间盘的强度、刚度和稳定性以及扭转生物力学性能。[结果](1)计算骨丧失量TPIG+椎弓根固定组的椎体和椎间盘的强度、刚度和稳定性高于TPG+椎弓根固定组,具有显著性差异(P0.05);(2)单纯计算骨丧失量TPIG组的强度和刚度高于单纯TPG组,并具有显著性差异(P0.05);(3)从扭转生物力学试验中也同样得到了相似的结论。[结论]计算骨丧失量TPIG+椎弓根固定治疗胸腰椎压缩性骨折具有优越的生物力学性能,适合于临床应用。

关 键 词:胸腰椎压缩性骨折  计算骨丧失量  经椎弓根打压植骨  内固定  生物力学

Transpedicular impacted grafting after bone loss calculation in the treatment of thoracolumbar compression fracture:a biomechanical study
FAN Dao-bin,ZHU Min,GAN Ye-chun,et al.. Transpedicular impacted grafting after bone loss calculation in the treatment of thoracolumbar compression fracture:a biomechanical study[J]. Orthopedic Journal of China, 2010, 18(8): 654-658
Authors:FAN Dao-bin  ZHU Min  GAN Ye-chun  et al.
Affiliation:FAN Dao-bin,ZHU Min,GAN Ye-chun,et al.Department of Spinal surgery,Chaohu Orthopedic Hospital,Anhui 238000,China
Abstract:
[Objective]To investigate the biomechanical properties of transpedicular impacted grafting(TPIG) after bone loss calculation in the treatment of thoracolumbar compression fracture.[Method]Six fresh human thoracolumbar spine(T12-L2) specimens were tested as 6 models: normal control(group A),compression fracture(group B),TPIG after bone loss calculation(group C),transpedicular grafting(TPG)(group D),TPIG after bone loss calculation + pedicle fixation(group E),TPG + pedicle fixation(group F).Biomechanical anal...
Keywords:thoracolumbar compression fracture  bone loss calculation  transpedicular impacted grafting  fixation  biomechanics  
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