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比格犬腰骶关节椎间撑开螺钉固定对相邻腰椎节段的影响

Effects of intervertebral distraction screw fixation of the lumbosacral joint on the adjacent lumbar segments in Beagles.

作者信息

Tanoue Hirofumi, Uchiyama Rika, Fukuda Hideyuki, Ichinohe Tom, Kanno Nobuo, Suzuki Shuji, Harada Yasuji, Hara Yasushi

出版信息

Am J Vet Res. 2020 Apr;81(4):367-374. doi: 10.2460/ajvr.81.4.367.

Abstract

OBJECTIVE

To investigate the effects of intervertebral distraction screw (IDS) fixation of the lumbosacral joint (LSJ) on the intervertebral foraminal area (IFA) and intervertebral stabilization of the LSJ and adjacent lumbar segments in dogs.

ANIMALS

7 healthy Beagles.

PROCEDURES

Dorsal laminectomy was performed at the LSJ in each dog to expose the intervertebral disk. The IDS was then inserted into the L7-S1 disk. Computed tomography was performed before and after laminectomy and after IDS insertion (intact, laminectomy, and IDS conditions, respectively) to measure the intervertebral range of motion (ROM) and intervertebral distance (ID) at L7-S1, L6-7, and L5-6 with the LSJ in a flexed and extended position. The intervertebral foramina stenosis rate was calculated from the intervertebral foramina area in entrance, middle, and exit zones. Results were compared among conditions.

RESULTS

The ROM at L7-S1 after IDS insertion was lower than that observed before and after laminectomy; no other differences were identified among conditions. With the LSJ in the flexed position, the ID at L7-S1 was larger after IDS insertion than before and after laminectomy; no other differences in ID were identified. In all evaluated zones, the stenosis rate was lower after IDS insertion than before and after laminectomy. No differences in ROM, ID, and stenosis rate were identified among conditions at L6-7 or L5-6.

CONCLUSIONS AND CLINICAL RELEVANCE

Results suggested that IDS fixation of the LSJ restricted lumbosacral ROM and prevented decreases in lumbosacral ID and IFA in healthy dogs. There were no changes at L6-7 and L5-6.

摘要

目的

研究腰骶关节(LSJ)的椎间撑开螺钉(IDS)固定对犬椎间孔面积(IFA)以及LSJ和相邻腰椎节段椎间稳定性的影响。

动物

7只健康的比格犬。

步骤

对每只犬的LSJ进行后路椎板切除术以暴露椎间盘。然后将IDS插入L7-S1椎间盘。在椎板切除术前、椎板切除术后以及IDS插入后(分别为完整、椎板切除和IDS置入状态)进行计算机断层扫描,以测量LSJ处于屈曲和伸展位置时L7-S1、L6-7和L5-6的椎间活动度(ROM)和椎间距离(ID)。根据椎间孔入口、中部和出口区域的椎间孔面积计算椎间孔狭窄率。对不同状态的结果进行比较。

结果

IDS插入后L7-S1的ROM低于椎板切除术前和术后观察到的ROM;不同状态之间未发现其他差异。当LSJ处于屈曲位置时,IDS插入后L7-S1的ID大于椎板切除术前和术后;未发现ID有其他差异。在所有评估区域,IDS插入后的狭窄率低于椎板切除术前和术后。在L6-7或L5-6的不同状态之间,未发现ROM、ID和狭窄率有差异。

结论及临床意义

结果表明,LSJ的IDS固定限制了腰骶部的ROM,并防止了健康犬腰骶部ID和IFA的减小。L6-7和L5-6没有变化。

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