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本文引用的文献

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Rigid and flexible spinal stabilization devices: a biomechanical comparison.刚性与柔性脊柱内固定装置:生物力学比较
Med Eng Phys. 2011 May;33(4):490-6. doi: 10.1016/j.medengphy.2010.11.018. Epub 2010 Dec 21.
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Biomechanical evaluation and comparison of polyetheretherketone rod system to traditional titanium rod fixation.聚醚醚酮棒系统与传统钛棒固定的生物力学评估与比较
Spine J. 2009 Mar;9(3):263-7. doi: 10.1016/j.spinee.2008.08.002. Epub 2008 Oct 1.
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The effect of arthrodesis, implant stiffness, and time on the canine lumbar spine.
J Spinal Disord Tech. 2007 Dec;20(8):549-59. doi: 10.1097/BSD.0b013e31804c98e5.
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PEEK biomaterials in trauma, orthopedic, and spinal implants.聚醚醚酮生物材料在创伤、骨科和脊柱植入物中的应用。
Biomaterials. 2007 Nov;28(32):4845-69. doi: 10.1016/j.biomaterials.2007.07.013. Epub 2007 Aug 7.
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Titanium versus stainless steel for anterior spinal fusions: an analysis of rod stress as a predictor of rod breakage during physiologic loading in a bovine model.用于前路脊柱融合术的钛合金与不锈钢对比:在牛模型中对杆应力作为生理负荷期间杆断裂预测指标的分析
Spine (Phila Pa 1976). 2007 Jan 1;32(1):42-8. doi: 10.1097/01.brs.0000251036.99413.20.
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Biomechanics of bone fusion.骨融合的生物力学
Neurosurg Focus. 2001 Apr 15;10(4):E2. doi: 10.3171/foc.2001.10.4.3.
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Polyetheretherketone as a biomaterial for spinal applications.聚醚醚酮作为一种用于脊柱应用的生物材料。
Biomaterials. 2006 Jan;27(3):324-34. doi: 10.1016/j.biomaterials.2005.07.011. Epub 2005 Aug 22.
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Effect of spinal disease on successful arthrodesis in lumbar pedicle screw fixation.脊柱疾病对腰椎椎弓根螺钉固定中成功融合的影响。
J Neurosurg. 2002 Oct;97(3 Suppl):277-80. doi: 10.3171/spi.2002.97.3.0277.
9
1997 Volvo Award winner in clinical studies. The effect of pedicle screw instrumentation on functional outcome and fusion rates in posterolateral lumbar spinal fusion: a prospective, randomized clinical study.1997年沃尔沃临床研究奖获得者。椎弓根螺钉内固定对腰椎后外侧融合术功能结果和融合率的影响:一项前瞻性、随机临床研究。
Spine (Phila Pa 1976). 1997 Dec 15;22(24):2813-22. doi: 10.1097/00007632-199712150-00004.
10
Effects of spinal instrumentation on fusion of the lumbosacral spine.脊柱内固定对腰骶椎融合的影响。
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经皮椎弓根钉棒系统后路腰椎融合术治疗退变性脊柱疾病:30 例初步报告。

Posterior lumbar fusion by peek rods in degenerative spine: preliminary report on 30 cases.

机构信息

Segreteria di Ortopedia Ospedale Maggiore, Largo Nigrisoli 2, 40100 Bologna, Italy.

出版信息

Eur Spine J. 2012 May;21 Suppl 1(Suppl 1):S50-4. doi: 10.1007/s00586-012-2219-x. Epub 2012 Mar 9.

DOI:10.1007/s00586-012-2219-x
PMID:22402841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3325394/
Abstract

PURPOSE

Pre-curved peek rods to support posterior lumbar fusion have been available in the market since 4 years. Potential advantages using this new technology are increased load sharing on the anterior column promoting interbody fusion, reduced stress on bone-screw interface decreasing the rate of screw mobilization and, in the long term, reduced incidence of adjacent level disc degeneration.

METHODS

The authors retrospectively reviewed 30 cases in which posterior fusion was supported by peek rods, analyzing early complications, rate of fusion and clinical outcome.

RESULTS

At an average follow-up of 18 months, both clinical and radiographic results were satisfactory with only one case requiring surgical revision for a mechanical complication.

CONCLUSIONS

The semi-rigid systems can now be considered a viable option in the lumbar degenerative disease, although clinical evaluations are necessary in the longer term.

摘要

目的

预弯 peek 杆自 4 年前开始应用于辅助后路腰椎融合术。使用这种新技术的潜在优势在于增加前柱的载荷分担,促进椎体间融合,减少骨-螺钉界面的应力,从而降低螺钉松动的发生率,从长远来看,降低相邻节段椎间盘退变的发生率。

方法

作者回顾性分析了 30 例使用 peek 杆辅助后路融合的病例,分析了早期并发症、融合率和临床结果。

结果

平均随访 18 个月时,所有患者的临床和影像学结果均满意,仅 1 例因机械并发症需要手术翻修。

结论

半刚性系统现在可以被认为是腰椎退行性疾病的一种可行选择,尽管还需要在更长时间内进行临床评估。