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1. 第二军医大学附属长征医院脊柱中心骨科,上海,200003
2. 解放军94333部队外科,山东,潍坊,261000
3. 解放军32145部队外科,河南,新乡,453000
纸质出版日期:2019,
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朱领军, 刘佳, 鲍小刚, 等. 可降解脊柱椎间融合器的研究进展[J]. 局解手术学杂志, 2019,(1).
ZHU Ling-jun, LIU Jia, BAO Xiao-gang, et al. Research advances in biodegradable intervertebral fusion cage for spine[J]. null, 2019,(1).
目的 目前治疗脊柱相关性疾病的主流手术模式和金标准仍是椎体间植入椎间融合器的脊柱椎间融合术。临床常规使用的椎间融合器,植入后不能在体内降解,形成终生异物;过高的弹性模量还会导致相邻椎体的骨质疏松
进而出现植入物下沉、应力遮蔽、融合“假象”等。理想的可降解材料合成的脊柱椎间融合器能够逐步降解并最终被新生骨取代,具有与皮质骨相近的弹性模量、良好的生物相容性、X射线通透性及较好的初始力学强度等特点。本文将对可降解脊柱椎间融合器实验动物分析、临床效果分析、存在缺点、未来发展趋势等方面进行综述,以期为临床提供参考。
Objective At present
the mainstream surgical mode and the gold standard for the treatment of spine related diseases are still the intervertebral fusion with the intervertebral implantation of the intervertebral fusion device.The intervertebral fusion device routinely used in clinical practice cannot degrade in vivo after implantation
resulting in lifelong foreign body. High elastic modulus also leads to osteoporosis in adjacent vertebral bodies
which leads to implant sinking
stress shielding and ‘pseudomorphism’ of fusion.The ideal biodegradable synthetic intervertebral fusion cage can be progressively degraded and eventually replaced by new bone,which has the advantages of elastic modulus close to cortical bone
good biocompatibility
X-ray permeability and good initial mechanical strength. In this paper
animal analysis of biodegradable intervertebral fusion cage
clinical effect analysis
current shortcomings and future trends were reviewed.
脊柱椎间融合术椎间融合器可降解材料弹性模量
spinal interbody fusionintervertebral fusion cagedegradable materialsmodulus of elasticity
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