单开门椎管扩大术对颈椎运动影响的生物力学研究
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BIOMECHANICAL EVALUATION OF CERVICAL SPINAL MOTIONS FOLLOWING EXPANSIVE OPEN-DOOR LAMINOPLASTY
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    摘要:

    本文定量地研究了正常颈椎和单开门椎管扩大术(E0DL)后的颈椎(C2~6)各节段的运动。采用7例新鲜的青年颈椎标本(枕骨至C7),施加力偶最大为1.5Nm,使之产生前屈、后伸和左、右侧弯运动。从正、侧位的照片上分别测量颈椎的前屈、后伸和左、右侧弯运动。每种力偶都加载、卸载三次。计算中性区、弹性区和运动范围.在C2~5或C3~5行单开门椎管扩大术后,与正常颈椎运动相比较,C2~各节段的前屈、后伸和左、右侧弯均无显著性差别。可见单开门椎管扩大术不会造成颈椎的不稳。

    Abstract:

    The in vitro study was to quantitively determine the movements of each of the cervical intervertebral joints(C2-C6) of normal structure and those following expansive open-door laminoplasty(EODL).Seven fresh young cadaveric specimens of whole cervical spine(Occipital bone to C7) were used in the determination of the movements in flexion,extension,left and right lateral bending.Pure moments with a maximum of 1.5 N.m were incrementally applied and the movements of bones were recorded by photography.Each moment was applied individually in three load/unload cycles.Parameters of neutral zone.elastic zone and range of motion were computed The difference in segmental motions were of no significant(P>0.05) when the motions of each segment from C2 to C6 in the intact cervical spine were compared with those of the same segment following EODL at C3-5 or C2-5.Worsened instability was unlikely to be seen in the middle/lower cervical spine following EODL.

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朱青安,卢万发,钟世镇.单开门椎管扩大术对颈椎运动影响的生物力学研究[J].医用生物力学,1994,9(3):134-141

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