首页> 外文会议>ASME summer bioengineering conference;SBC2008 >BIOMECHANICAL COMPARISON OF A NOVEL C1 POSTERIOR LOCKING PLATE WITH THE HARMS TECHNIQUE IN A C1-C2 FIXATION MODEL
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BIOMECHANICAL COMPARISON OF A NOVEL C1 POSTERIOR LOCKING PLATE WITH THE HARMS TECHNIQUE IN A C1-C2 FIXATION MODEL

机译:C1-C2固定模型中新型C1脊柱后锁定板与Harms技术的生物力学比较

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Current methods of atlantoaxial stabilization rely on screw fixation. Screw placement may be transarticular, or C1 lateral mass screws in combination with pedicle or pars screws at C2. These techniques can put the vertebral artery at risk. There is also dissection around the ganglion of the second cervical nerve root, which can lead to significant bleeding or postoperative pain.One theoretical alternative to lateral mass screw fixation of C1 is locking plate fixation of the posterior arch of C1. A C1 plate could then be rigidly linked to C2 translaminar screw fixation recently reported by Wright. If possible, this would allow for C1-C2 fixation without risk to the vertebral artery or the C2 nerve root ganglion. This method might also obviate the need for high tech, high cost surgical equipment such as image guided surgical instruments.
机译:寰枢轴稳定的目前方法依赖于螺钉固定。螺杆放置可以是间隙的,或C1横向质量螺钉与C2的椎弓根或螺钉组合。这些技术可以使椎动脉面临风险。在第二个宫颈神经根部的神经节周围也有解剖,这可能导致显着的出血或术后疼痛。 C1的横向质量螺钉固定的一个理论替代物是C1的后拱的锁定板固定。然后可以将C1板刚性连接到最近通过赖特报道的C2译式螺钉固定。如果可能的话,这将允许C1-C2固定而没有风险的椎动脉或C2神经根神经节。这种方法还可以避免对高科技,高成本的手术设备等摄影引导手术器械的需求。

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