A biomechanical study of the recovery in spinal stability of flexion/extension and torsion after the

来源 :第二十届全国中西医结合骨伤科学术研讨会、第二届中国医师协会中西医结合医师分会骨伤科学术年会、第十九届浙江省中西医结合骨伤 | 被引量 : 0次 | 上传用户:my_lyb
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  Posterior lumbar structures are vital for spinal stability, and many researchers thought that laminectomy and facetectomy would lead to severe spinal instability.However, because living organisms have compensatory repair capacities, their long-term condition after posterior lumbar structure injuries may change over time.To study the changes in the lumbar biomechanical stability of flexion/extension and torsion at different time points after the resection of various posterior structures, as well as to assess the capacity for self-healing in lumbar stability, sheep that had undergone laminectomy or facetectomy were used as an experimental animal model.The injured sheep models included three groups: laminectomy only, laminectomy plus left total facetectomy, and laminectomy plus bilateral facetectomy.Eight sheep that did not undergo a surgical procedure were used as the control group.At 0, 6,12, 24, 36 weeks after the resection of the posterior lumbar structures, the lumbar specimens were harvested for biomechanical testing based on flexion/extension and torsion movements using the Instron 8874 servohydraulic biomechanical testing system.The changes in the injured lumbar spine were also analyzed through radiological examination.The lumbar stability in flexion/extension and torsion was severely decreased after the three types of surgery.After six weeks, the flexion/extension mechanical parameters recovered substantially; each parameter had returned to normal levels by 12 weeks and exceeded the intact group by 24 and 36 weeks.Torsional stiffness also recovered gradually over time.All of the injury groups demonstrated decreased intervertebral space and degeneration or even fusion in the small joints of the surgical segment or in adjacent segments based on radiological imaging.These results indicate that the body has the ability to repair the mechanical instability to a certain extent.
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