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纸质出版:2010
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王洪伟,李长青,周跃,赵卫东.用于脊柱内固定器生物力学评价的牛脊椎A型骨折模型的建立[J].陆军军医大学学报(原第三军医大学学报),2010,32(18):1967-1969.
Wang Hongwei,Li Changqing,Zhou Yue,Zhao Weidong.Establishment of calf model of spinal fracture type A for biomechanical evaluation of spinal internal fixator[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(18):1967-1969.
王洪伟,李长青,周跃,赵卫东.用于脊柱内固定器生物力学评价的牛脊椎A型骨折模型的建立[J].陆军军医大学学报(原第三军医大学学报),2010,32(18):1967-1969. DOI:
Wang Hongwei,Li Changqing,Zhou Yue,Zhao Weidong.Establishment of calf model of spinal fracture type A for biomechanical evaluation of spinal internal fixator[J].J Amry Med Univ (J Third Mil Med Univ),2010,32(18):1967-1969. DOI:
目的 建立一种新的评价脊柱不同内固定对稳定性影响的骨折模型。 方法 取12具新鲜小牛胸腰段(L1~L5)椎体标本,采用楔形截骨法及逐级撞击技术制作L3椎体骨折模型,应用步态分析仪数字动作捕捉及分析系统分别测试正常状态标本与骨折状态标本固定节段L2~L4的三维运动范围(range of movement
ROM)并计算各运动方向的刚度值。 结果 实验组12具标本均形成胸腰椎A型骨折模型,平均撞击能量为61.7 J。测试过程中观察到骨折模型标本骨折类型较恒定,骨折模型标本的ROM和椎间刚度值:前屈为(9.50±0.81)°和(0.42±0.04) Nm/°,后伸为(8.84±0.88)°和(0.46±0.05) Nm/°,左侧弯为(15.18±1.28)°和(0.27±0.02) Nm/°,右侧弯为(15.22±0.94)°和(0.26±0.02) Nm/°,左旋转为(9.25±0.82)°和(0.44±0.04) Nm/°,右旋转为(9.21±0.73)°和(0.44±0.04) Nm/°,与正常标本相比均显著性增大(P0.01),椎间刚度值显著减小(P0.01)。模型标本左旋转与右旋转,左侧弯与右侧弯指标差异无统计学意义(P0.05)。 结论 通过步态分析仪数字动作捕捉及分析系统的测试,采用楔形截骨法及逐级撞击技术相结合制作的牛脊椎A型骨折模型较为理想。
Objective To introduce a new fracture experimental model to evaluate the effects of different kinds of internal fixation devices on spinal stability. Methods Twelve fresh calf spines from L1 to L5 were collected
and then wedge osteotomy was performed on the 1/3 anterior body of L3 vertebrae. Then drop weight technique and incremental trauma approach was used to produce burst fracture. Ranges of 3 dimensional movements and stiffness of segment L1 to L5 were measured with a spinal three motion test device (Eagle-4
Motion Analysis) before and after trauma. Results In the course of testing
the fractural model was restored to normal position after unloading. The range of movement and stiffness of the segments are 9.50±0.81° and 0.42±0.04 Nm/°on flexion
8.84±0.88° and 0.46±0.05 Nm/°on extension
15.18±1.28° and 0.27±0.02 Nm/°on left bending
15.22±0.94° and 0.26±0.02 Nm/°on right bending
9.25±0.82° and 0.44±0.04 Nm/°on left rotation
and 9.21±0.73° and 0.44±0.04 Nm/°on right rotation. These Results revealed that the range of movement of the segments on flexion/extension
left/right bending and left/right rotation were significant increased in final trauma specimens compared to those of normal specimens (P0.01). There were also significant differences of stiffness in all movements between 2 groups (P0.01). There was no significant difference in bending and rotation between right and left (P0.05). Conclusion The fractural model established using vertebral pre-injury and incremental trauma approach in this study provides an ideal tool for biomechanical evaluation of the internal fixation devices of spine.
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