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Biornechanics of thoracolumbar burst fractures: Methods of induction and treatments

机译:胸腰椎爆裂骨折的生物力学:诱导方法和治疗方法

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摘要

Much controversy exists regarding the mechanism of burst fracture (BF) induction and the proper techniques to treat such fractures. As such, there is a great need for validated preclinical models in which to study these injuries. In this study, an electronic search of the PubMed database (MEDLINE) was performed and the results were filtered to obtain only studies with a biomechanical focus. Forty five biomechanical studies were obtained, from which four distinct methods of injury induction were identified. Twenty one (46.7%) involved clinically relevant techniques for treating BF, involving anterior, posterior, circumferential, or a combination of approaches. Fifteen (71.4%) of the treatment studies used unstable spine specimens that do not fit the classical characteristics of BF. Given the consistent use of BF models that do not adhere to classical definitions, the clinical value of ex vivo induction is uncertain. (C) 2014 Elsevier Ltd. All rights reserved.
机译:关于爆裂性骨折(BF)诱发的机制以及治疗此类骨折的适当技术存在许多争议。因此,迫切需要用于研究这些损伤的经过验证的临床前模型。在这项研究中,对PubMed数据库(MEDLINE)进行了电子搜索,并对结果进行了过滤,仅获得了以生物力学为重点的研究。获得了四十五项生物力学研究,从中鉴定出四种不同的损伤诱导方法。 21(46.7%)涉及治疗高炉的临床相关技术,包括前,后,周向或多种方法的组合。 15例(71.4%)治疗研究使用不稳定的脊柱标本,这些标本不符合BF的经典特征。由于不遵循经典定义的BF模型的持续使用,离体诱导的临床价值尚不确定。 (C)2014 Elsevier Ltd.保留所有权利。

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