英文文献-一个前锁定杆胸腰段脊柱内固定的生物力学分析.docVIP

Biomechanical Analysis of an Anterior Locking-end Rod Thoracolumbar Spinal Instrumentation/Anterior Locking-end Rod Thoracolumbar Spinal Instrumentation: Biomechanical Compared all locking end-Rod With Single-Rod Study Design. In vitro biomechanical study to assess construct stabilites of an anterior locking-end rod thoracolumbar instrumentation. Objectives. present a new anterior stabilizing implant in the thoracolumbar spine. To introduce a new locking-end rod anterior thoracolumbar spinal instrumentation and biomechanical in vitro evalution single locking-end rod model compared with two locking-end rods model. Summary of Background Data. Anterior thoracolumbar instrumentations were evoled to either rods or plates,an angular stable locking-end rods system have been developed to improve stability. Methods. Twelve pig spinal specimens (T12-L3) were divided into two groups (6 per group) and subjected to L1 corpectomy. One of two fixation methods was applied to the left of the vertebra(T13-L2) in each group:The single locking-end rod model or the two locking-end rods model. the spine were tested:1)intact spine;2)after L1 corpectomy with graft and stabilization with two alternative instrumentations, L1 corpectomy with anterior fixtion and graft;3) after flexion-extension cyclic fatiguing for 5000 cycles at a load of ±3.0Nm. T13-L2 angular roatation was measured in a 6-degree-of-freedom spine simulator under pure moments of 6.0 Nm. Intersegmental motion was measured between T13 and L2. Results. All two fixation model showed superior stability compared to the intact spine.The two locking-end rods system showed superior stability compared to the single locking-end rod system in axial rotation and lateral bending. Flexion/extension loading demonstrated no difference between the systems in range of motion. After fatiguing, the two locking-end rods instrumented spine was still significantly stiffer than the intact spine,while the single locking-end rod instrumented spine s