颈椎前路不同术式对邻近下位关节突关节压力影响的生物力学研究.pdfVIP

国际医药卫生导报2009 年第15 卷第23 期　IMHGN ，December 2009 ，Vol.15　No.23 ·科研课题 · 颈椎前路不同术式对邻近下位关节突关节 压力影响的生物力学研究 吴强　卢海波　李康华　胡孔和　席新华　李雄　陈立科　王斌 　　【摘要】　目的　比较颈前路不同术式术后邻近下位关节突关节内压力的变化，为颈椎 前路不同术式的临床应用提供生物力学依据。方法　11具保留C3 至T 1 的新鲜成人颈椎标本， 分别模拟实施C5/ 6 椎间盘摘除术、人工间盘置换术、椎间融合术，制成椎间盘完整、椎间 盘摘除、人工椎间盘置换和椎间融合4 个模型组，用微阻电式传感器测量在25～150N 不同分 级、不同方向载荷下C6/7 关节突关节内的压力大小，用SP SS 13.0 统计软件包进行统计学分 析。结果　不同分级、不同方向载荷下人工椎间盘置换术组C6/7 关节突关节内的压力变化， 与完整组接近，差异无统计学意义(P ＞0 .05) ，间盘摘除术组在同侧弯、对侧弯、前屈和后 伸工况时较完整组、置换术组减少(P ＜0 .05) ，融合术组在轴向、同侧弯、后伸工况时较完 整组和置换组增大(P ＜0.05) 。结论　人工颈椎间盘置换术后邻近下位关节突关节内的压力变 化与标本完整时接近，提示人工椎间盘置换术比椎间盘摘除术、椎间融合术更符合颈椎生物 力学性能重建的要求，具有更大的应用前景。 　　【关键词】　颈椎；人工椎间盘；生物力学；关节突关节 The biomechanics research on the changes of pressures in adj acent inferior zygapophyseal j oint because of different methods of surgery for the anterior cervical spine　WU Qiang, L UHai-bo,LI Kang-hua, et al.Dep artment of Orthop aedics, The Yuebei Peop le ’s Hosp ital Aff iliated to Shantou University Medical College,Shaoguan 512026,China 　　【Abstract 】　Objective　To compare the changes of pressures in adj acent inferior zygapophyseal j oint after different anterior cervical spine surgery and to provide the biomechanics basis for their clinical application.Methods　11fresh cervical spinal specimens (C3-T1) were obtained from young adult cadavers. The specimens were simulated as implementation of the C5/6 discectomy,intercalated disc replacement, interbody fusion and divided into the integrity group,the discectomy group,the intercalated disc replacement group and the intervertebral fusion group.The changes of pressures in C6/7 left zygapophysealj oint were measured in the 4 groups unde 25N ～150N loads of different grades and directions by using micro- resistance type transducer.And analyze the data by SPSS13.0.Results　Pressure variety in C6/7 left zygapophysealj oint of replacement group and integrity group were similar.There was no stati