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1、www.CRTER.org曹珺，等.下颈椎经椎弓根内固定的生物力学稳定性分析综述下颈椎经椎弓根内固定的生物力学稳定性分析*★曹珺，代耀军，何飞BiomechanicalstabilityoftranspedicularscrewfixationinlowercervicalspineCaoJun,DaiYao-jun,HeFeiDepartmentofOrthopaedics,theFirstAffiliatedHospitalofKunmingMedicalCollege,Kunming650032,YunnanProvince,ChinaCaoJun
2、★,Studyingformaster’sdegree,DepartmentofOrthopaedics,theFirstAffiliatedHospitalofKunmingMedicalCollege,Kunming650032,YunnanProvince,ChinaCaojun2007190@126.comCorrespondenceto:HeFei,Associatechiefphysician,DepartmentofOrthopaedics,theFirstAffiliatedHospitalofKunmingMedicalCollege,
3、Kunming650032,YunnanProvince,Chinadrhefei@sina.comSupportedby:ScientificandTechnologicalFoundationofYunnanProvincialEducationDepartment,No.04Y847C*Received:2008-08-20Accepted:2008-09-16昆明医学院第一附属医院骨科，云南省昆明市650032曹王君★，男，1972年生，河南省信阳人，汉族，昆明医学院在读硕士，主要从事脊柱外科、脊髓损伤、计算机辅助研究。Caojun2007190
4、@126.com通讯作者：何飞，副主任医师，昆明医学院第一附属医院骨科，云南省昆明市650032drhefei@sina.com云南省教育厅科研基金(04y847c)*中图分类号:R318文献标识码:A文章编号:1673-8225(2008)44-08725-04收稿日期：2008-08-20修回日期：2008-09-16(54200808190010/WJY·Y)Abstract:Transpedicularscrewfixationforcervicalspineisthestrongestspinalposteriorfixationthatcou
5、ldprovidetri-columnbiomechanicalstability,andithasbeengraduallyidentifiedasaquitehighvalueinclinicalapplication.Thepedicleofvertebralarchisadjacenttovitalneurovascularstructures;therebypediclescrewfixationinthecervicalspinehasbeenconsideredasapotentialriskofinjuryandbeenlimitedin
6、clinics.Thisstudyaimstoreviewthestudiesonthecurrentsituationandprogressofpediclescrewfixationtechniquesinlowercervicaldiseasebyinvestigatingcervicalpediclemorphology,biomechanicalproperty,transpedicularscrewinsertiontechniquesandinternalfixationsystem,computerassistedimage-guided
7、navigation,theindication,contraindicationandcomplicationsofpediclescrewfixation.Thearticleshowsthatpreoperativecarefulevaluationforthemorphologyofthelowercervicalpedicles,usingkindsofnewimageguidedtechniquesandmeticuloustechniquesofscrewplacementinoperationareessentialinreducingo
8、perationalriskandofferingwidelyapplicati
