CAJ | 학술논문

目的:从生物力学方面,总结金属材料螺钉置入内固定技术在下颈椎疾病领域的应用进展.方法:收集2000/2008发表的下颈椎螺钉置入内固定的生物力学分析和临床应用的文献22篇,从下颈椎螺钉置入内固定的解剖学基础、生物力学、临床应用及优缺点加以整理和分析.结果:不论是侧块螺钉置入内固定还是椎弓根螺钉置入内固定,以及经关节螺钉置入内固定,均能为下颈椎疾病提供更大的生物力学稳定性.结论:螺钉置入内固定是一种有效的下颈椎置入内固定技术,它可用于各种原因引起的下颈椎不稳、缺损,尤其是后柱的部分缺损.
목적:종생물역학방면,총결금속재료라정치입내고정기술재하경추질병영역적응용진전.방법:수집2000/2008발표적하경추라정치입내고정적생물역학분석화림상응용적문헌22편,종하경추라정치입내고정적해부학기출、생물역학、림상응용급우결점가이정리화분석.결과:불론시측괴라정치입내고정환시추궁근라정치입내고정,이급경관절라정치입내고정,균능위하경추질병제공경대적생물역학은정성.결론:라정치입내고정시일충유효적하경추치입내고정기술,타가용우각충원인인기적하경추불은、결손,우기시후주적부분결손.
OBJECTIVE: From biomechanics, to summarize the application advances of metal screw implantation intemal fixation in cervical diseases. METHODS: A total of 22 articles of biomechanical analysis and clinical application of cervical screw implantation published between 2000 and 2008 were collected to analyze the anatomic basis, biomechanics, clinical application and advantages and disadvantage of cervical screw implantation. RESULTS: Lateral mass screw, pedicle screw internal fixation, and transarticular screw fixation can enhance biomechanical stability of cervical diseases. CONCLUSION: Screw implantation is an effective lower cervical intemal fixation technique and can be used in lower cervical instability and defects caused by various factors, in particular posterior column partial defect.