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下颈椎前路椎弓根螺钉内固定技术的研究进展
Hits: 1989   Download times: 1120   Received:January 20, 2013    
作者Author单位UnitE-Mail
李杰 LI Jie 宁波大学医学院, 浙江 宁波 315211
宁波市医疗中心李惠利医院骨科, 浙江 宁波 315040
Department of Orthopaedics, Lihuili Hospital, Ningbo Medical Center, Ningbo 315040, Zhejiang, China  
赵刘军 ZHAO Liu-jun 宁波市第六医院脊柱外科, 浙江 宁波 315040  
徐荣明 XU Rong-ming 宁波市第六医院脊柱外科, 浙江 宁波 315040  
张明 ZHANG Ming 宁波市医疗中心李惠利医院骨科, 浙江 宁波 315040 Department of Orthopaedics, Lihuili Hospital, Ningbo Medical Center, Ningbo 315040, Zhejiang, China  
蒋伟宇 JIANG Wei-yu 宁波市第六医院脊柱外科, 浙江 宁波 315040  
祁峰 QI Feng 宁波市医疗中心李惠利医院骨科, 浙江 宁波 315040 Department of Orthopaedics, Lihuili Hospital, Ningbo Medical Center, Ningbo 315040, Zhejiang, China nbqifeng@126.com 
期刊信息:《中国骨伤》2013年26卷,第10期,第873-877页
DOI:10.3969/j.issn.1003-0034.2013.10.021
与传统前路和后路手术相比,下颈椎前路椎弓根螺钉内固定技术(anterior transpedicular screw fixation,ATPS)具有较好的生物力学优势、相对安全等特点,仅通过一次前路手术可解决减压和重建两个问题. 但是由于ATPS采用了较为特殊的解剖通道,临床上暂无专门用于前路椎弓根螺钉置钉的配套内固定系统,下颈椎ATPS技术的适应证相对较窄,尚不能替代传统前路和后路手术方法. 如何精确置钉以及ATPS相关内固定器械的开发是目前研究的热点及未来发展方向.
[关键词]:颈椎  内固定器  综述文献
 
Progress on cervical anterior transpedicular screw fixators for lower cervical vertebrae
Abstract:Compared with the traditional anterior and posterior operation,anterior transpedicular screw fixation(ATPS) has many advantages of biomechanics,relative safety. Both problems of decompression and reconstruction can be resolved only through an anterior approach. A rather peculiar anatomic channel was used in ATPS,but no special tools was used in system supporting for anterior pedicle screw to place,so the indications of ATPS of lower cervical vertebrae is relatively narrow,it cannot replace of traditional anterior and posterior surgery. Problems of accurately inserting screws and the development of internal fixation device about ATPS is a hot spot of current research and a future direction. In recent years,many scholars have systematically studied the technique,and applied it in clinic gradually and achieved good effects. In order to improve the level of application,recent articles were analyzed retrospectively in this paper,and the studies of anatomy,biomechanical and clinical application of ATPS were reviewed.
KEYWORDS:Cervical vertebrae  Internal fixations  Review literature
 
引用本文,请按以下格式著录参考文献:
中文格式:李杰,赵刘军,徐荣明,张明,蒋伟宇,祁峰.下颈椎前路椎弓根螺钉内固定技术的研究进展[J].中国骨伤,2013,26(10):873~877
英文格式:LI Jie,ZHAO Liu-jun,XU Rong-ming,ZHANG Ming,JIANG Wei-yu,QI Feng.Progress on cervical anterior transpedicular screw fixators for lower cervical vertebrae[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(10):873~877
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