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A Review of the Historical Evolution Biomechanical Advantage Clinical Applications and Safe Insertion Techniques of Cervical Pedicle Screw Fixation

机译:颈椎椎弓根螺钉固定术的历史沿革生物力学优势临床应用和安全置入技术综述

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摘要

Cervical spine instrumentation is evolving with an aim of stabilizing traumatic and non-traumatic cases of the cervical spine with a beneficial reduction, better biomechanical strength, and a strong construct with minimal intraoperative, as well as immediate and late postoperative complications. The evolution from interspinous wiring till cervical pedicle screws has changed the outlook in treating the cervical spine pathologies with maximum 3D stability, decreasing the duration of postoperative immobilization and hospital stay. Some complications associated with the use of cervical pedicle screw can be catastrophic. This review article discusses the morphometry of cervical pedicle; indications, biomechanical superiority, tricks, and pitfalls of cervical pedicle screw; complications and technical advancements in targeting safe surgery; and future directions of cervical pedicle screw instrumentation.
机译:颈椎器械正在发展,其目的是通过有效的复位,更好的生物力学强度,坚固的结构,最小的术中以及术后即刻及后期并发症来稳定颈椎的创伤性和非创伤性病例。从棘突间布线到颈椎椎弓根螺钉的发展改变了以最大的3D稳定性治疗颈椎病的前景,缩短了术后固定和住院时间。与使用颈椎椎弓根螺钉相关的一些并发症可能是灾难性的。这篇文章讨论了颈椎椎弓根的形态;颈椎椎弓根螺钉的适应症,生物力学优势,技巧和缺陷;针对安全手术的并发症和技术进步;及颈椎椎弓根螺钉器械的发展方向。

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