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首页> 外文期刊>Journal of biomedical materials research. Part B, Applied biomaterials. >Analysis of a Retrieved Isola Spinal System Fractured in Service
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Analysis of a Retrieved Isola Spinal System Fractured in Service

机译:服务中分离出的Isola脊柱系统断裂的分析

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摘要

A 1/4-in centre dot diameter two-column isola spinal system implanted in a 13-year-old girl suffering from cerebral palsy and a severe neuromuscular scoliosis of 120 deg, was replaced 22 months after primary implantation. The system was removed due to fracture of the lower left (concave) bar, between its two cross connectors (i.e., the distal bypass connector and a transverse cross link), as a result of a postoperative infection and a subsequently developed pseudarthrosis. The retrieved implants were analyzed with the use of a multitechnique characterization procedure involving macroscopic and microscopic examination, micro-multiple internal reflectance FTIR spectroscopy, X-ray fluorescence (XRF) spectrometry, roughness measurement, and mechanical testing of the constituent material and components. Findings suggest that the spinal system failed due to in vivo loosening of a two-set screw tandem connector and subsequent overloading of the contralateral bar.
机译:初次植入术后22个月,在一个患有脑瘫和120度严重神经肌肉脊柱侧弯的13岁女孩中植入了一个1/4英寸中心点直径的两列isola脊柱系统。由于术后感染和随后发展的假关节,由于该系统的两个交叉连接器(即远侧旁路连接器和横向交叉连接)之间左下(凹形)条的断裂,该系统被拆除。使用包括宏观和微观检查,微观多重内反射FTIR光谱,X射线荧光(XRF)光谱,粗糙度测量以及组成材料和组件的机械测试在内的多种技术表征程序,对回收的植入物进行了分析。研究结果表明,由于在体内松开了两组固定的螺丝串联连接器并随后使对侧的杆超载,导致脊柱系统衰竭。

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