CAJ | 학술논문

颈椎后路椎弓根螺钉固定技术于1994年首次应用于临床，鉴于其稳定的固定融合效果，已成为多种颈椎疾病的主要治疗手段。然而，由于颈椎病灶的好发部位多位于前部，且颈椎后路椎弓根螺钉操作难度较大，在一定程度上限制了该技术的发展。2008年颈椎前路椎弓根螺钉固定技术的概念被首次提出，此技术继承了后路椎弓根螺钉生物力学性能卓越的优点，且克服传统颈椎前路椎体螺钉稳定性较差的缺点。本文主要就颈椎前路椎弓根螺钉固定技术的解剖学及生物力学研究进展进行综述。
경추후로추궁근라정고정기술우1994년수차응용우림상，감우기은정적고정융합효과，이성위다충경추질병적주요치료수단。연이，유우경추병조적호발부위다위우전부，차경추후로추궁근라정조작난도교대，재일정정도상한제료해기술적발전。2008년경추전로추궁근라정고정기술적개념피수차제출，차기술계승료후로추궁근라정생물역학성능탁월적우점，차극복전통경추전로추체라정은정성교차적결점。본문주요취경추전로추궁근라정고정기술적해부학급생물역학연구진전진행종술。
Cervical posterior transpedicular screw technique was first introduced to clinic in 1994. Due to its good biomechanical stability and satisfactory fusion effect,it has become a major solution to some cervical spine diseases.However,most of the diseases involved in vertebral body and posterior transpedicular screw technique is complex and difficult,these factors prevent the technique be widely used in cervical spine surgery.In 2008,a new concept of cervical anterior transpedicular screw fixation technique was first proposed.This new technique inherited advantages of posterior transpedicular screw fixation,and of course,it also overcomes drawbacks of conventional anterior vertebral body screw fixa-tion.This review presents an overview of anterior transpedicular screw fixation technique on anatomical and biomechanical field.