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首页> 外文期刊>Proceedings of the Institution of Mechanical Engineers, Part H. Journal of Engineering in Medicine >Do we need a transforaminal lumbar interbody fusion cage to increase the stability of functional spinal unit when comparing unilateral and bilateral fixation?
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Do we need a transforaminal lumbar interbody fusion cage to increase the stability of functional spinal unit when comparing unilateral and bilateral fixation?

机译:在比较单侧和双侧固定时,我们需要一个晶状体腰椎间融合笼,以增加功能性脊柱单元的稳定性吗?

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摘要

Transforaminal lumbar interbody fusion was an alternative to posterior lumbar interbody fusion for decompression surgeries. This study investigates the biomechanical responses of the unilateral and bilateral pedicle screw fixations with/without transforaminal lumbar interbody fusion cages under axial compression, flexion, and torsional loads. Ovine vertebrae were used in this study. Cadavers, randomly divided into five, were intact control group, bilateral pedicle screw fixation group, bilateral pedicle screw fixation group with transforaminal lumbar interbody fusion cage, unilateral pedicle screw fixation group, and unilateral pedicle screw fixation group with transforaminal lumbar interbody fusion cage. Axial compression, flexion, and torsion tests were performed on specimens. All study groups provided higher stiffness and yield load values than control group under axial compression. Addition of transforaminal lumbar interbody fusion cage to bilateral fixation increased the stiffness under axial compression. Moreover, additional use of transforaminal lumbar interbody fusion in unilateral fixation increased the yield load values under axial compression. Control group was the stiffest in flexion test. Placing a transforaminal lumbar interbody fusion cage to both unilateral and bilateral fixations did not significantly change the stiffness values. Additional transforaminal lumbar interbody fusion cage increased the yield moment of the bilateral fixation. In torsion test, control group had the highest stiffness and yield torque. The facet joints are the most important parts of the vertebrae on the stability. When comparing the bilateral and unilateral fixations with transforaminal lumbar interbody fusion addition, the more facet preserving approach has significantly higher stability under axial compression, flexion, and torsion. Unilateral fixation with transforaminal lumbar interbody fusion cage can be said biomechanically stable and advantageous fixation system beca
机译:Transforaminal腰椎间融合是对减压手术的后腰椎间融合的替代品。本研究研究了单侧和双侧椎弓根螺钉固定的生物力学响应/不具有轴压缩,屈曲和扭转载荷下的横向撞击力椎体椎体椎体椎间融合盒。本研究使用绵羊椎骨。尸体,随机分为五个,是完整的对照组,双侧椎弓根螺钉固定组,双侧椎弓根螺钉固定组与横轮腰椎椎体间融合笼,单侧椎弓根螺钉固定组,单侧椎弓根螺钉固定组,与单侧椎弓根螺钉固定组与横轮腰椎间融合笼。在标本上进行轴向压缩,屈曲和扭转试验。所有研究组在轴向压缩下提供比对照组更高的刚度和屈服载荷值。添加横轴腰椎间融合笼到双侧固定增加轴向压缩下的刚度。此外,在单侧固定中额外使用横向撞击性椎体间融合在轴向压缩下增加了屈服载荷值。对照组是屈曲测试中最硬的。将Transforaminal腰椎间融合笼放置在单侧和双侧固定中没有显着改变刚度值。额外的横向腰椎椎体间融合笼增加了双侧固定的产量力矩。在扭转试验中,对照组具有最高的刚度和屈服扭矩。面关节是椎骨最重要的部分稳定性。在将双侧和单侧固定与横冲流器腰椎间融合的比较时,较高的刻面方法在轴向压缩,屈曲和扭转下具有显着较高的稳定性。用横轮腰椎间融合笼的单侧固定可以是生物力学稳定和有利的固定系统所以Beca

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