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1、www.CRTER.org喻林，等.腰椎棘突间内固定器的基础研究及临床应用综述腰椎棘突间内固定器的基础研究及临床应用★喻林，石志才InterspinousprocessdeviceinbasicstudyandclinicalapplicationYuLin,ShiZhi-caiDepartmentofOrthopedics,ChanghaiHospital,SecondMilitaryMedicalUniversityofChinesePLA,Shanghai200433,ChinaYuLin★,Studyingformaster’sdegree,Physician,Depart
2、mentofOrthopedics,ChanghaiHospital,SecondMilitaryMedicalUniversityofChinesePLA,Shanghai200433,Chinaqingtingfotuo@hotmail.comCorrespondenceto:ShiZhi-cai,Chiefphysician,Professor,Master’ssupervisor,DepartmentofOrthopedics,ChanghaiHospital,SecondMilitaryMedicalUniversityofChinesePLA,Shanghai20043
3、3,ChinaReceived:2008-09-01Accepted:2008-09-24解放军第二军医大学长海医院骨科，上海市200433喻林★，男，1981年生，四川省什邡市人，汉族，解放军第二军医大学附属长海医院在读硕士，医师，主要从事脊柱外科方面的研究。qingtingfotuo@hotmail.com通信作者：石志才，主任医师，教授，硕士生导师，解放军第二军医大学附属长海医院骨科，上海市200433中图分类号:R318文献标识码:A文章编号:1673-8225(2008)44-08737-05收稿日期：2008-09-01修回日期：2008-09-24(542008081
4、20012/WJY·A)Abstract:Interspinousprocessdeviceisakindofnon-fusionimplantforposteriorspinalsurgery.Itisclassifiedbystaticsystemanddynamicsystemaccordingtoitscharacteristics.Withrapiddevelopmentofinternalfixatormanufacture,materialsforinterspinousprocessdevicebecomeincreasing,suchasboneallograft
5、,titanium,poly(ether-ether-ketone)andlactoprenecomposite.Alargenumberofexperimentalandclinicalresearchesrevealtheadvantagesofthistechnologyindegenerativespinalstenosis,intervertebraloriginallowerbackpain,facetsyndrome,protrusionofintervertebraldisk,andlumbarinstability.However,therearestillman
6、yproblemssuchastheinfluenceonthelumbarposteriorcolumn,themechanismtolumbardiscandtheeffectonthestabilityofspineetc.Inaddition,theclinicalindicationsneedtovalidatebylong-termfollowup.YuL,ShiZC.Interspinousprocessdeviceinbasicstudyandclinicalapplication.ZhongguoZuzhiGongchengYanjiuyuLinchuangKan
7、gfu2008;12(44):8737-8741(China)[http://www.crter.cnhttp://en.zglckf.com]摘要：腰椎棘突间内固定器是脊柱外科后路非融合置入物的一类，根据其特性及作用特点可分为静态系统和动态系统两类。随着内固定器制作工艺的飞速发展，腰椎棘突间内固定器的材料构成范围也很广泛，包括同种异体骨移植物、钛、聚醚醚酮和人造橡胶复合物等。大量的基础及临床研究表明，腰椎棘突间内固定器在退变性椎管狭窄、椎间盘原性下腰痛、关节突综合征
