geneX?骨水泥强化椎弓根螺钉体内的实验研究

来源 :中国临床解剖学杂志 | 被引量 : 0次 | 上传用户:w01225
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:通过动物实验,评估新型带负电荷硫酸钙/β-磷酸三钙复合骨水泥(geneX?)用于强化体内椎弓根螺钉的生物力学性质变化及可行性。方法选取6只健康山羊腰椎L1~5双侧共30个椎弓根随机分为3组:geneX?组,聚甲基丙烯酸甲酯骨水泥(Polymethylmethacrylate,PMMA)组,空白对照组,每组10个椎弓根。术后3个月处死动物取材行Mirco-CT检查、组织学检查及生物力学实验。结果轴向拔出力实验:geneX?组(803±155) N, PMMA组为(994±122) N,两者差异无统计学意义(P>0.05)。两组均明显高于对照组的(524±118) N,差异具有统计学意义(P<0.05)。组织学观察及Mirco-CT显示geneX?组中螺钉周围骨水泥已经完全降解、吸收,骨小梁排列致密,成熟骨小梁附近可见大量新生骨组织,明显优于对照组及PMMA组。结论 geneX?骨水泥可有效强化椎弓根螺钉内固定的强度,其强化作用随时间推移而增强,对防止骨质疏松症患者内固定的拔出发生率有重要意义。“,”Objective To evaluate the long-term in vivo biomechanical effects of a newly developed biphasic calcium composite bone cement (geneX?)with a negative surface charge augmentation of pedicle screw. Methods Bilateral pedicles of lumbar vertebrae (L1~5) of 6 female sheep were fi xed with pedicle screws. One pedicle of each vertebral body was treated with a screw augmented with either geneX?(geneX? group) or PMMA (PMMA group) and the contralateral pedicle was treated with a screw without any augmentation (control group). Three months later, the sheep were killed and biomechanical tests, micro-CT analysis and histological observation were conducted on the isolated specimen vertebrae. Results Both the axial and vertical stabilities of the pedicle screws in geneX? group were significantly enhanced compared with those in the control group (P<0.05). Micro-CT reconstruction and analysis showed that there were more bone trabeculae around the screws in geneX? group compared with those in control group and PMMA group (P<0.05), and the bone trabeculae were signi fi cantly denser than those in control group (P<0.05). Histological observation showed that geneX? was completely degraded and bone trabeculae around the screws in geneX? group were more and denser than that in the control group. Bone trabeculae held the screws tightly without any interspaces between screw and bone, which formed strong bonding between bone and screw. Conclusions geneX? cement augmentation of the pedicle screw increase the strength of screw-bone interface, geneX? cement augmentation of the pedicle screw may be a viable clinical option for the augmentation of pedicle screw fixation.
其他文献
目的 探讨双切口双钢板内固定治疗复杂胫骨平台骨折的疗效.方法 复杂胫骨平台骨折38例,均采用双切口显露,关节面骨折直接复位,于骺端与骨干连接尽可能采用闭合复位,减少创伤,双钢板螺钉内固定植骨.结果 38例患者术后获得6~27个月随访,平均16个月,术后切口延迟愈合2例,无骨折不愈合;平均愈合时间4.2个月,完全负重时间平均4.7个月,术后1年膝关节活动度平均97°.根据膝关节HSS评分标准评分:优
目的 探讨中西医结合治疗急性脑梗死的临床疗效.方法 将120例急性脑梗死患者随机分为对照组与观察组,每组60例.对照组给予急性脑梗死常规治疗,观察组在常规治疗基础上加用中医熄风化痰活血方治疗,比较两组治疗后神经功能缺损情况及日常生活能力.结果 出院时观察组与对照组神经功能缺损评分(NIHSS)分别为(4.23±2.07)分和(6.38±1.76)分,差异有统计学意义(t=6.13,P=0.00);
目的 观察替米沙坦联合美托洛尔治疗慢性心力衰竭的疗效.方法 将97例慢性心力衰竭患者随机分为对照组和治疗组,对照组给予替米沙坦治疗,治疗组在此基础上加用美托洛尔,观察6个月,分别于治疗前后测量患者的左室射血分数(LVEF)、左室舒张末期内径(LVDd)、左室收缩末期内径(LVDs)、心率以及血压的变化.结果 治疗组在HR、LVDd、LVDs、LVEF、SBP、DBP较对照组均有明显的改善,差异均有
目的 探讨预防性气管切开在重度阻塞性睡眠呼吸暂停低通气综合征(OSAHS)治疗中的应用价值.方法 12例重度OSAHS患者,术前预防性气管切开后择期局部麻醉下行悬雍垂腭咽成形术(UPPP).患者取坐位或半坐位,手术全程在患者完全清醒配合下完成.在咽肌张力正常的情况下很轻松的完成了UPPP的操作.结果 随访3~6个月后问卷调查:12例患者术后呼吸暂停低通气指数(AHI)均<10次/h,夜间睡眠鼾声明
目的 评价经椎弓根椎体内植骨结合椎弓根螺钉内固定术治疗胸腰段椎体压缩性骨折的疗效.方法 对经椎弓根植骨内固定术治疗的胸腰段椎体压缩性骨折患者32例的资料进行分析.结果 术后平均随访18个月,术后不同时期X线片及CT检查伤椎高度、取出内固定术后伤椎椎体高度、伤椎椎体中央高度差异无统计学意义(P>0.05).结论 胸腰段椎体压缩性骨折在后路椎弓根螺钉内固定同时经伤椎椎弓根进行椎体内植骨,可有效填充压缩
目的 探讨彩色多普勒超声检查在妇女乳腺疾病诊断中的应用价值,分析乳腺疾病的发病特点.方法 回顾性分析451例妇女彩色多普勒超声检查资料,结合临床治疗进行分析.结果 451例患者中,占乳腺疾病前三位的是乳腺增生、乳腺纤维瘤和乳腺癌,分别为56.1%、10.6%和5.3%;乳腺增生在各年龄段中发病均较高,并且在50岁之前呈增加趋势,在50岁之后逐渐减少;乳腺纤维瘤在30岁以下发病最高,随着年龄增加逐渐