中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (35): 6611-6614.doi: 10.3969/j.issn.1673-8225.2011.35.036

• 骨与关节综述 bone and joint review • 上一篇    下一篇

椎间植骨融合效果与腰椎前柱组织结构及生物力学的关系

谢鸿儒，王  欢   

  1. 中国医科大学附属盛京医院脊柱创伤外科，辽宁省沈阳市  110004
  • 收稿日期:2011-04-28 修回日期:2011-05-09 出版日期:2011-08-27 发布日期:2011-08-27
  • 通讯作者: 王欢，教授，中国医科大学附属盛京医院脊柱创伤外科，辽宁省沈阳市110004 spinewh@sj-hospital.org
  • 作者简介:谢鸿儒★，男，1984年生，山西省运城市人，中国医科大学在读硕士，主要从事脊柱外科方面的研究。 xiehongruspine@163.com

Relationship of lumbar interbody fusion with anterior column structure and biomechanics

Xie Hong-ru, Wang Huan   

  1. Department of Spinal Trauma, Shengjing Hospital of China Medical University, Shenyang  110004, Liaoning Province, China
  • Received:2011-04-28 Revised:2011-05-09 Online:2011-08-27 Published:2011-08-27
  • Contact: Wang Huan, Professor, Department of Spinal Trauma, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China spinewh@sj-hospital.org
  • About author:Xie Hong-ru★, Studying for master’s degree, Department of Spinal Trauma, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China xiehongruspine@163.com

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304

被引次数

13

摘要：

背景：腰椎融合后，椎间植骨融合率低，是临床上亟待解决的问题。
目的：阐述椎间植骨融合效果与腰椎前柱的关系，分析其组织结构及生物力学发生改变后对椎体间植骨融合效果的影响。
方法：电子检索CBM/CNKI(2000/2010)和计算机Medline数据库(1995/2010)收录的腰椎椎间植骨融合的相关综述和论文报告，找出并分析其中与前柱结构及生物力学相关的研究进展。
结果与结论：腰椎前柱的完整性及生物力学的稳定性对椎间植骨融合的效果有显著的影响。在腰椎前路间盘切除及腰椎前柱爆裂骨折撑开内固定中，应该着重保护好椎体前柱结构及血运，尽量恢复腰椎前柱结构的完整性及稳定性，维持腰椎正常的生物力学环境，以期达到理想的椎间融合效果。

关键词: 腰椎前柱, 椎间植骨, 生物力学, 脊柱融合, 融合率

Abstract:

BACKGROUND: Lumbar spine fusion is one of the most common operations for low back pain in spinal surgeons, but the clinical spine fusion rate is still low-level. How to availably promote spine fusion, raise fusion rate and clinical effect, and decrease complications is a problem for the spinal surgeon to work out.
OBJECTIVE: To summarize the relation between lumbar interbody fusion and anterior column, and to analyze the influence of structural and biomechanical changes on fusion rate.
METHODS: A computer online retrieval of CBM/CNKI/Medline for articles and reviews about lumbar interbody fusion published 1995-2009 was performed.
RESULTS AND CONCLUSION: The stability and integrality of the anterior column have notable effects on interbody fusion. In anterior lumbar interbody fusion and the fixations of anterior column fracture, we would better protect the structure and blood supply of the anterior column, and resume the integrality and stability of the anterior column to maintain the biomechanics environment of the lumbar, aiming to achieve the better fusion effect.

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