中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (43): 8142-8146.doi: 10.3969/j.issn.1673-8225.2011.43.039

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

椎间盘镜下腰椎钉棒置入内固定椎间融合植入物的特点与选择

张  俊，何宏生，袁房均，周文波，刘  伟   

  1. 湖北医药学院附属东风医院骨外科，湖北省十堰市   442008
  • 收稿日期:2011-07-29 修回日期:2011-09-02 出版日期:2011-10-22 发布日期:2011-10-22
  • 通讯作者: 何宏生，硕士生导师，主任医师，教授，湖北医药学院附属东风医院骨外科，湖北省十堰市 442008 并列通讯作者：袁房均，硕士生导师，主任医师，教授，湖北医药学院附属东风医院外科，湖北省十堰市 442008
  • 作者简介:张俊，男，湖北省十堰市人，汉族，武汉大学医学院毕业，副主任医师，主要从事骨科脊柱微创方面的研究。 Zhjun0305@163.com

Characteristics and choice of interbody fusion implants in lumbar pedicle screw fixation surgery under endoscopy

Zhang Jun, He Hong-sheng, Yuan Fang-jun, Zhou Wen-bo, Liu Wei   

  1. Department of Orthopedic Surgery, Dongfeng Hospital, Hubei University of Medicine, Shiyan  442008, Hubei Province, China
  • Received:2011-07-29 Revised:2011-09-02 Online:2011-10-22 Published:2011-10-22
  • Contact: He Hong-sheng, Master’s supervisor, Chief physician, Professor, Department of Orthopedic Surgery, Dongfeng Hospital, Hubei University of Medicine, Shiyan 442008, Hubei Province, China Correspondence to: Yuan Fang-jun, Master’s supervisor, Chief physician, Professor, Department of Orthopedic Surgery, Dongfeng Hospital, Hubei University of Medicine, Shiyan 442008, Hubei Province, China
  • About author:Zhang Jun, Associate chief physician, Department of Orthopedic Surgery, Dongfeng Hospital, Hubei University of Medicine, Shiyan 442008, Hubei Province, China Zhjun0305@163.com

PDF

487

被引次数

6

摘要：

背景：目前临床椎间盘镜下钉棒置入内固定腰椎融合植入物材料有天然生物材料、人工合成材料以及复合材料，它们都存在各自不同的优缺点。
目的：分析与总结椎间盘镜下钉棒置入内固定腰椎融合植入物的特点，并探讨如何根据植入物的特点进行选择最合适腰椎内固定融合植入物。
方法：在万方数据库及Medline数据库中检索1999-01/2010-12有关椎间盘镜下钉棒置入内固定植入物的研究，关键词为“椎间盘镜，钉棒内固定腰椎融合，植入物”。
结果与结论：由于椎间融合器的尺寸符合内窥镜通道的要求，因而椎间融合器的应用逐渐成为目前椎间盘镜下钉棒置入内固定腰椎融合中最主要的手术方式。腰椎间融合器材料由最初的惰性材料钛合金发展至可降解、可吸收生物材料，异体皮质骨材料融合器也已出现，它最为接近所谓的“金标准”。每种椎间融合器都有各自的优缺点，应根据患者腰椎影像学表现及内固定植入物的特点选择最合适内固定植入物。

关键词: 椎间盘镜, 内固定植入物, 钉棒, 椎间融合器, 骨科植入物 

Abstract:

BACKGROUND: Currently, interbody fusion implants in lumbar pedicle screw fixation surgery under endoscopy include natural biomaterials, synthetic materials and composite materials, which have their own advantages and disadvantages.
OBJECTIVE: To explore how to choose the most suitable implants by analyzing and discussing the characteristics of the interbody fusion implants in lumbar pedicle screw fixation surgery under endoscopy.
METHODS: We searched the Wanfang and Medline databases (1999-01/2010-12) with the keywords of “endoscopic, screw-rod fixation, interbody implant” for the articles regarding the interbody fusion implants in lumbar pedicle screw fixation surgery under endoscopy.
RESULTS AND CONCLUSION: As the size of interbody fusion implants matches the request of the endoscopic pathway, it is widely used in lumbar pedicle screw fixation surgery under endoscopy nowadays. The materials of cages have evolved from the first initial materials such as titanium alloy to biodegradable and absorbable biomaterials. The allograft cortical bone fusion materials have also emerged, which are most close to the so-called “gold standard”. Each intervertebral fusion device has its own advantages and disadvantages. The choice of the most suitable interbody fusion implants should be made according to the patient’s imaging and the characteristics of lumbar spine internal fixation.

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