中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (39): 7358-7365.doi: 10.3969/j.issn.2095-4344.2012.39.028

• 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固定失稳颈椎

朱瑜琪   

  1. 东营市人民医院,山东省东营市 257091
  • 收稿日期:2012-05-10 修回日期:2012-07-20 出版日期:2012-09-23 发布日期:2012-09-23
  • 作者简介:朱瑜琪,男,1963年生,山东省广饶县人,汉族,潍坊医学院毕业,主任医师,硕士研究生导师,主要从事骨关节、脊柱损伤退行性疾病的诊治研究。 zhyqi001@163.com

Cervical pedicle screw internal fixation for the treatment of cervical spine instability

Zhu Yu-qi   

  1. Dongying People’s Hospital, Dongying 257091, Shandong Province, China
  • Received:2012-05-10 Revised:2012-07-20 Online:2012-09-23 Published:2012-09-23
  • About author:Zhu Yu-qi, Chief physician, Master’s supervisor, Dongying People’s Hospital, Dongying 257091, Shandong Province, China zhyqi001@163.com

摘要:

背景:颈椎椎弓根螺钉置入内固定治疗颈椎失稳具有较高的风险,研究分析颈椎椎弓根螺钉置入对失稳颈椎的固定作用,确定颈椎椎弓根螺钉置入内固定治疗失稳颈椎的可行性及可靠性。
目的:深入分析颈椎椎弓根螺钉置入对失稳颈椎的固定作用,为失稳颈椎的固定治疗提供重要数据参考信息。
方法:对颈椎椎弓根螺钉置入固定失稳颈椎的生物力学、形态学、临床随访试验以及对颈椎肿瘤所致颈椎失稳的固定作用进行分析,从不同角度分析确定颈椎椎弓根螺钉固定系统对失稳颈椎固定作用的可行性及安全性。
结果与结论:颈椎椎弓根螺钉置入对失稳颈椎的固定作用无论从生物力学及形态学,还是从临床应用的角度都显示了满意的治疗效果,对改善患者临床症状、减轻痛苦具有重要的意义,是治疗颈椎失稳可靠安全的方法之一。

关键词: 颈椎, 椎弓根, 螺钉, 颈椎失稳, 生物力学, 形态学, 下颈椎, 寰椎, 枢椎, 并发症, 融合

Abstract:

BACKGROUND: Cervical pedicle screw internal fixation has a high risk for the treatment of cervical spine instability. Research and analysis on the fixation effect of cervical pedicle screw placement for the treatment of cervical spine instability should be performed in order to determine the feasibility and reliability of cervical pedicle screw placement for the treatment of cervical spine instability.
OBJECTIVE: To in-depth analyze the fixation effect of cervical pedicle screw placement for the treatment of cervical spine instability, and to provide the important data and reference information for the treatment of cervical spine instability.
METHODS: The biomechanics, morphology and clinical follow-up test of the instable cervical spine were analyzed after cervical pedicle screw placement, and the fixation effect of cervical pedicle screw placement for the treatment of cervical spine instability was analyzed. We have analyzed from different aspects in order to determine the feasibility and safety of cervical pedicle screw system in treating the cervical spine instability.
RESULTS AND CONCLUSION: The cervical pedicle screw placement has a satisfactory therapeutic effect in the treatment of cervical spine instability no matter from the biomechanical and morphological aspects, or from the aspect of clinical applications. The cervical pedicle screw placement is one of the reliable and safe treatment methods for cervical spine instability as it has an important significance in improving the patient's clinical symptoms and relieving the pain.

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