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一种用于治疗退行性脊柱疾病的新型模块化动态稳定系统。

A Novel Modular Dynamic Stabilization System for the Treatment of Degenerative Spinal Pathologies.

作者信息

Ozer Ali Fahir, Cevik Orhun Mete, Erbulut Deniz Ufuk, Yaman Onur, Senturk Salim, Oktenoglu Tunc, Sasani Mehdi, Suzer Tuncer, Goel Vijay

机构信息

Koc University, School of Medicine, Department of Neurosurgery, Istanbul, Turkey.

出版信息

Turk Neurosurg. 2019;29(1):115-120. doi: 10.5137/1019-5149.JTN.23227-18.1.

Abstract

AIM

To show the preliminary clinical results of the Orthrus modular dynamic stabilization system that is a new instrumentation system intended for degenerative diseases of the lumbar spine.

MATERIAL AND METHODS

The system utilizes two different types of screws that can be used in conjunction with different types of rods such as titanium, carbon fiber or PEEK. The first type of screw is a double headed screw to interconnect to the upper and lower level with independent rods. The second type of screw is a sliding screw to be used on a immovable vertebrae that allows movement in two planes on the tip.

RESULTS

The system has been used on 36 patients with pathology varying from degenerative disc disease to degenerative lumbar scoliosis. Satisfactory results have been obtained in a all 36 patients in the 12-month follow-up period.

CONCLUSION

The Orthrus dynamic system shows better clinical results than the available dynamic systems on the market. It also proves to provide similar fusion with considerably less postoperative morbidity which makes it a better method to treat adult degenerative spine diseases for carefully chosen patients.

摘要

目的

展示Orthrus模块化动态稳定系统的初步临床结果,该系统是一种用于腰椎退行性疾病的新型器械系统。

材料与方法

该系统使用两种不同类型的螺钉,可与不同类型的杆(如钛、碳纤维或聚醚醚酮)配合使用。第一种螺钉是双头螺钉,用于通过独立的杆连接上下节段。第二种螺钉是滑动螺钉,用于固定的椎体,其尖端可在两个平面内移动。

结果

该系统已应用于36例患者,病变范围从退行性椎间盘疾病到退行性腰椎侧弯。在12个月的随访期内,所有36例患者均取得了满意的结果。

结论

Orthrus动态系统比市场上现有的动态系统显示出更好的临床效果。它还证明能提供相似的融合效果,且术后发病率显著降低,这使其成为治疗精心挑选的成年退行性脊柱疾病患者的更好方法。

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