肾形纳米羟基磷灰石2f聚酰胺66腰椎间融合器在TLIF术中的生物力学分析.pdfVIP

重庆医科大学硕士研究生学位论文 BIOMECHANICAL STUDY OF A KIDNEY-SHAPED N-HA/PA66 CAGE FOR TRANSFORAMINAL LUMBAR INTERBODY FUSION ABSTRACT Objective: To evaluate the biomechanical stability of a new kidney-shaped N-HA/PA66 cage for transforaminal lumbar interbody fusion in vitro study. In this study，comparisons were made with the more common the bullet-shaped N-HA/PA66 cage. and then determine the feasibility for the new kidney-shaped N-HA/PA66 cage in clinical surgery. Method: Fifteen adult cadaveric lumbar spine specimens (L4/5) were used in this study. They were divided into three groups : intact group(group A) ，the new kidney-shaped N-HA/PA66 cage group(group B) and the bullet-shaped N-HA/PA66 cage group(groupC). A left-sided TLIF with one cage and with bilateral transpedicular fixation was performed at L4-L5 in B 、C groups. The L4-L5 range of motion was obtained by applying pure moments of 10 Nm in right/left lateral bending, flexion/extension, and axial left/right rotation movements for each specimen. In the cyclic test, Overall, 10,000 axial compression cycles, each ranging sinusoidal from 300 to 1000 N, were applied with a frequency of 3 Hz in B、C groups. and then the anterior/ posterior disc height was evaluated in lateral plain radiograph. cage subsidence was evaluated. 4 万方数据 重庆医科大学硕士研究生学位论文 Results: 1. The posterior transpedicular fixation significantly reduced the range of motion in flexion extension, lateral bending and axial torsion compared with the intact condi