中国组织工程研究

中国组织工程研究 ›› 2024, Vol. 28 ›› Issue (29): 4639-4644.doi: 10.12307/2024.569

• 组织工程骨材料 tissue-engineered bone • 上一篇    下一篇

3D打印个性化颈椎矫形支具可缓解和治疗早期颈椎病

杨云霄1，2，赵  宇3，王明海1，杨泽政1，王金武4   

  1. 1复旦大学附属上海市第五人民医院骨科，上海市  200240；2潍坊医学院康复医学院，山东省潍坊市  261053；3上海交通大学转化医学研究院，上海市  201100；4上海交通大学医学院附属第九人民医院骨科，上海市  200011
  • 收稿日期:2023-10-26 接受日期:2023-12-06 出版日期:2024-10-18 发布日期:2024-03-22
  • 通讯作者: 杨泽政，硕士，主治医师，复旦大学附属上海市第五人民医院骨科，上海市 200240 王金武，博士，教授，主任医师，上海交通大学医学院附属第九人民医院骨科，上海市 200011
  • 作者简介:杨云霄，女，1999年生，山东省聊城市人，汉族，康复治疗师，潍坊医学院康复医学院在读硕士，主要从事颈椎病相关康复方面的研究。
  • 基金资助:
    2020年上海市卫生健康委员会卫生行业临床研究专项(20204Y0391)，项目负责人：杨泽政

3D printed personalized cervical orthopedic brace can alleviate and treat early cervical spondylosis

Yang Yunxiao1, 2, Zhao Yu3, Wang Minghai1, Yang Zezheng1, Wang Jinwu4   

  1. 1Department of Orthopedics, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, China; 2School of Rehabilitation Medicine, Weifang Medical University, Weifang 261053, Shandong Province, China; 3Institute of Translational Medicine, Shanghai Jiao Tong University, Shanghai 201100, China; 4Department of Orthopedic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Received:2023-10-26 Accepted:2023-12-06 Online:2024-10-18 Published:2024-03-22
  • Contact: Yang Zezheng, Master, Attending physician, Department of Orthopedics, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, China Wang Jinwu, MD, Professor, Chief physician, Department of Orthopedic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • About author:Yang Yunxiao, Rehabilitation therapist, Master candidate, Department of Orthopedics, Shanghai Fifth People’s Hospital, Fudan University, Shanghai 200240, China; School of Rehabilitation Medicine, Weifang Medical University, Weifang 261053, Shandong Province, China
  • Supported by:
    2020 Clinical Research Project of Shanghai Municipal Health Commission Health Industry, No. 20204Y0391 (to YZZ)

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摘要：


文题释义：

3D打印个性化颈椎矫形支具：利用影像数据和三维体表信息，针对患者颈椎曲度进行个性化针对性调整，通过计算机辅助设计后打印出的一种个性化的、拟具备矫正颈椎曲度功能的颈椎矫形支具。
Borden值：测量颈椎曲度的一种方式，一般指枢椎齿状突后上缘至C7椎体后下缘的直线与各椎体后缘所作的光滑曲线的最大垂直距离，通常认为正常值为(12±5) mm。


背景：短时间的颈托佩戴结合肩颈肌肉锻炼可以显著改善早期颈椎病的症状，但是在停止佩戴颈托后患者症状容易再发，原因可能是颈托缺少颈椎曲度矫正功能。

目的：分析3D打印个性化颈椎矫形支具调整颈椎曲度治疗早期颈椎病的疗效。
方法：选择2021年1月至2023年1月复旦大学附属上海市第五人民医院收治的早期颈椎病患者30例，男11例，女19例，平均年龄(31.7±6.6)岁，所有患者定制和佩戴3D打印个性化颈椎矫形支具，每天佩戴3 h，持续治疗12周。记录治疗前及治疗4，8周后30例患者的颈椎曲度Borden值、肩颈部肌肉痛阈、颈椎功能障碍指数、目测类比评分。

结果与结论：①与治疗前相比，30例患者治疗4周后的颈椎曲度Borden值、右斜方肌压痛阈值与颈椎功能障碍指数无明显变化(P > 0.05)，目测类比评分、左斜方肌压痛阈值、左及右C5C6压痛阈值明显改善(P < 0.05)；②与治疗前相比，30例患者治疗12周后的颈椎曲度Borden值、左及右斜方肌压痛阈值、目测类比评分、左及右C5C6压痛阈值与颈椎功能障碍指数均明显改善(P < 0.05)；③与治疗4周后相比，30例患者治疗12周后的颈椎曲度Borden值、右斜方肌压痛阈值、目测类比评分、左及右C5C6压痛阈值与颈椎功能障碍指数均明显改善(P < 0.05)；④结果表明，短期内佩戴3D打印个性化颈椎矫形支具可以改善早期颈椎病患者的疼痛情况，长期佩戴可一定程度地恢复颈椎曲度。

https://orcid.org/0009-0002-0747-827X(杨云霄)

中国组织工程研究杂志出版内容重点：生物材料；骨生物材料；口腔生物材料；纳米材料；缓释材料；材料相容性；组织工程

关键词: 颈椎病, 颈托, 3D打印支具, 压痛阈值, 颈椎功能障碍指数, 目测类比评分法

Abstract: BACKGROUND: Short-term wearing of cervical brace combined with shoulder and neck muscle exercise can significantly improve the symptoms of early cervical spondylosis. After stopping wearing cervical brace, patients’ symptoms are easy to recur, which may be due to the lack of cervical curvature correction function. 
OBJECTIVE: To analyze the effect of 3D printed personalized cervical orthopedic brace for adjusting cervical curvature in the treatment of early cervical spondylosis.
METHODS: From January 2021 to January 2023, 30 patients with early cervical spondylosis in the Shanghai Fifth People’s Hospital, Fudan University were studied, including 11 males and 19 females, with a mean age of (31.7±6.6) years old. All patients customized and wore 3D printed personalized cervical orthopedic braces for 3 hours a day for continuous 12 weeks. Borden value of cervical curvature, pain threshold of shoulder and neck muscles, cervical dysfunction index, and visual analog scale score in 30 patients were recorded before and 4 and 8 weeks after treatment. 

RESULTS AND CONCLUSION: (1) Compared with before treatment, the difference of Borden value of cervical curvature, right trapezius tenderness threshold, and cervical dysfunction index was not significant in 30 patients after 4 weeks of treatment (P > 0.05). Visual analog scale score, left trapezius tenderness threshold, left and right C5C6 tenderness threshold were significantly improved (P < 0.05). (2) Compared with before treatment, the cervical curvature Borden value, left and right trapezius tenderness threshold, visual analog scale score, left and right C5C6 tenderness threshold, and cervical dysfunction index of 30 patients were significantly improved after 12 weeks of treatment (P < 0.05). (3) Compared with 4 weeks after treatment, the Borden value of cervical curvature, right trapezius tenderness threshold, visual analog scale score, left and right C5C6 tenderness threshold and cervical dysfunction index of 30 patients after 12 weeks of treatment were significantly improved (P < 0.05). (4) The results show that short-term wearing of 3D printed personalized cervical orthopedic brace can improve the pain of patients with early cervical spondylosis, while long-term application has certain effect on the recovery of cervical curvature.

Key words: cervical spondylosis, neck brace, 3D printed brace, tenderness threshold, cervical dysfunction index, visual analog scale

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