腰椎后路手术对其稳定性的影响.PDF

650 2002 11 15 11 China J Orthop Trauma, Nov 2002, Vol. 15, No. 11 1 1 2 1 2 戴先文 王全平 欧阳均 王军 朱青安 ( 1 , 710032; 2 ) ! 5 , , , , , ! ; ; The influence of posterior approaches on stability of the lumbar spine following surgery with the posterior approach DAI X ianw en , WAN G Quanp ing , O UYA N G Jun, et al . Fourth M ilitary M edi al University ( Shanx i X i∀ an, 710032) Abstract! Objective To investigate the influence of posterior approaches on the stability of lumbar spine from the view points of biomechanics Methods resh human cadaver specimens of spine w ere used to form five different types of models, with test system of threedimension movement to measure t he staility of lumbar spine, and t hen t he results were compared with that of the intact type. Results There is no significant influence on lumbar stability following totallaminectomy TL and bilateral fenestration,however,t here w as sig nificant influence on lumbar stability after part ial or total resection of facets;there w as impairment of lateral bending, anterior flexion and rotational movement of the lumbar spine. Conclusion One should avoid injury of facet joints in lumbar operations through posterior approaches so as to maintain lumbar stability and reduce postoperative syndromes. Key words! Lumbar vertebrae; Joint instability; Biomechanics , 1 11 4 ( 21 ~ 29 ) , 8~ 12 L1~ 5 X 1 12 ( SU,functional spinal unit) , 8 SU, , , 1 ROM 2 2 6 () SU 10Nm , , 50%( P 001) 2002 11 15 11 China J Orthop T rauma, Nov 2002, Vol. 15, No.11 651