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螺钉植入后腰椎椎弓根骨折与膨胀率的观察

Study on the rate of expansion and fracture in the lumber vertebral arch after the implantation of screw implanted

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【作者】 鲍朝辉; 王祥善; 孙保国; 苏智慧;

【Author】 BAO Chaohui, WANG Xiangshan, SUN Baoguo, et al. Department of Orthopaedics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China

【机构】 郑州大学第一附属医院骨科; 郑州大学第一附属医院骨科 郑州市 450052; 郑州市 450052; 郑州市 450052;

【摘要】 目的:观察腰椎椎弓根在植入螺钉后发生的肉眼骨折和膨胀率的关系。方法:采用人的新鲜的L1-L5标本共计30个,均为男性,年龄21-35岁,平均27.3岁。在植入螺钉前后分别测量椎体椎弓根的横径。结果:共有24个椎弓根发生了肉眼骨折。经统计学分析,螺钉植入后腰椎椎弓根骨折与膨胀率为直线正相关关系;L1,L2和L3的椎弓根骨折无统计学差异。结论:在椎弓根植入螺钉时要考虑椎弓根骨折与膨胀率的关系。在L3植入直径>6mm的螺钉的危险性比想象的要大。

【Abstract】 Objective To study the relationship between the rate of expansion and fracture in the lumber vertebral arch after the implantation of screw. Methods Thirty lumbers of human spine were used, all of which came from male (the mean age 27. 35 years). The transverse diameters were measured before and after the implantation of screw. Results Twenty-four fractures were observed. The relationship between the rate and fracture was linear positive correlation. The fracture between L1, L2 and L3 showed no difference. Conclusion The relationship must be paid attention when plate screw diameter is 6 mm. It is much more dangerous when the implanted screw is over 6 mm.

【关键词】 脊柱关节病; 膨胀率; 骨螺钉;
【Key words】 Spinal osteoarthritis; rate of expansion; bone screw;
  • 【文献出处】 实用诊断与治疗杂志 ,Journal of Practical Diagnosis and Therapy , 编辑部邮箱 ,2005年04期
  • 【分类号】R687
  • 【被引频次】2
  • 【下载频次】26
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