中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (22): 4137-4141.doi: 10.3969/j.issn.1673-8225.2011.22.036

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

颈椎椎弓根螺钉置入内固定的生物力学变化及其临床特性

王华刚1，杨  飞2   

  1. 1河北省张家口教育学院，河北省张家口市075000
    2北京市延庆医院，北京市  102100
  • 收稿日期:2010-10-23 修回日期:2011-04-10 出版日期:2011-05-28 发布日期:2011-05-28
  • 通讯作者: 杨飞，主治医师，硕士，北京市延庆医院骨科，北京市102100 yangfei730611@sina.com
  • 作者简介:王华刚，男，1970年生，河北省张家口市人，汉族，2004年华北煤炭医学院毕业，主要从事电化教学在临床医学中的应用。 wanghg1970@sina.com

Biomechanical changes and clinical characteristics of cervical pedicle screws internal fixation

Wang Hua-gang1, Yang Fei2   

  1. 1Zhangjiakou Educational College, Zhangjiakou  075000, Hebei Province, China
    2Yanqing Hospital of Beijing, Beijing  102100, China
  • Received:2010-10-23 Revised:2011-04-10 Online:2011-05-28 Published:2011-05-28
  • Contact: Yang Fei, Master, Attending physician, Yanqing Hospital of Beijing, Beijing 102100, China yangfei730611@sina.com
  • About author:Wang Hua-gang, Zhangjiakou Educational College, Zhangjiakou 075000, Hebei Province, China wanghg1970@sina.com

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被引次数

1

摘要：

背景：颈椎椎弓根钉由于其独特的三维稳定性，越来越多的学者对其进行更加广泛的研究。
目的：综述颈椎椎弓根解剖特点及椎弓根螺钉置钉的安全性和临床应用。
方法：应用计算机检索1994-01/2010-09 CNKI及PubMed数据库相关文章，中文检索词为“颈椎弓根螺钉”，英文检索词为“cervical pedicle screws”，共检索到文献292篇，最终纳入符合标准的文献43篇。
结果与结论：通过文献检索获得目前一致的观点认为颈椎弓根内固定由于是三维固定，因此可以获得良好的生物力学。但是，由于颈椎弓根周围毗邻部特殊的解剖结构，潜在血管、神经根和颈髓损伤的危险性，置入内固定风险及难度大，所以临床应用要做到个体化置钉。

关键词: 颈椎, 椎弓根钉, 三维固定, 置钉方法, 综述文献

Abstract:

BACKGROUND: More and more scholars have focused on cervical pedicle screws because of their unique three-dimensional stability.
OBJECTIVE: To review the anatomic characteristics of the cervical pedicle, and to investigate the safety and clinical application of cervical pedicle screws.
METHODS: The literature concerning the cervical pedicle screw internal fixation in recent years were extensively searched from CNKI and PubMed databases (1994-01/2010-09) using the keywords of “cervical pedicle screws” in Chinese and English. Forty-three articles of 292 were included in the result analysis. RESULTS AND CONCLUSION: Cervical pedicle screw fixation can obtain a good biomechanics based on its three-dimensional fixation. However, due to the special anatomic structures of the cervical pedicle adjacent to the surrounding, potential risks of blood vessel, nerve root and cervical spinal cord injuries, it is difficult to the internal fixation of cervical pedicle screws with a certain risk. The clinical application of pedicle screws should be individualized.

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