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The Establishment and Development of Finite Element Model of Human Cervical Vertebra and Its Application Example 被引量:8
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作者 SHEN Xiao-wen YU Hang-ping ZOU Wei 《Chinese Journal of Biomedical Engineering(English Edition)》 2008年第2期86-92,共7页
The incidence rate of cervical spondylosis is high,and due to the complicacy of cervical vertebra structure,irregularity of shapes and non-uniformity of components,sometimes it’s difficult to achieve planned objectiv... The incidence rate of cervical spondylosis is high,and due to the complicacy of cervical vertebra structure,irregularity of shapes and non-uniformity of components,sometimes it’s difficult to achieve planned objectives by experiments in vitro through stress and strain analysis. Besides,the biomechanical factors are of vital significance in the cause of spinal disorders. In this paper the author makes a summary of the present modeling of human cervical vertebra and describes the major methods of establishing the finite element model of human cervical vertebra through several self-constructed models. With the advance of computer technology,the finite element methods have been rapidly developed in cervical vertebra biomechanical researches and have became a major approach for biomechanical researches to simulate more and more clinical conditions. 展开更多
关键词 cervical vertebra finite element model research
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The design of a cervical vertebra titanium plate-interbody fusion cage
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作者 Chuanyi Bai Kunzheng Wang Meigang Wei 《Journal of Nanjing Medical University》 2006年第2期120-123,共4页
Objective: To study the biomechanical feature of a newly designed cervical vertebra internal fixation device and its clinical applications. Methods: Some functional spinal units were fixed respectively with titanium... Objective: To study the biomechanical feature of a newly designed cervical vertebra internal fixation device and its clinical applications. Methods: Some functional spinal units were fixed respectively with titanium plate, fusion cage and new device designed by ourselves, then a controlled biomechanical study including flexion, extension, torsion and lateral bending was performed and the results were analyzed. Results: As to the mechanical performance, fusion cage showed poor performance in extension test and so did the titanium plate in the distortion test. However, the new device showed good performance in every test. Conclusion: Both simple titanium plate fixation and simple fusion cage fixation have biomechanical defaults, but they are complementary. The titanium plate-interbody fusion cage avoids the defaults and has specific advantages. 展开更多
关键词 cervical vertebra internal fixation device BIOMECHANICS
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3D Vector Reconstruction of the Typical Cervical Vertebra from Anatomical Sections of Korean Visible Human at the Laboratory of Clinical and Digital Anatomy of Paris Descartes University
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作者 Abdoulaye Kanté Jean Franç +7 位作者 ois Uhl Mariam Daou Vincent Delmas J. S. Park B. S. Chung Babou Ba Nouhoum Ongoï ba 《Forensic Medicine and Anatomy Research》 2020年第3期55-63,共9页
<strong>Aim:</strong> To carry out a 3D vector reconstruction of the typical cervical vertebra from anatomical sections of the “Korean Visible Human” for educational purposes. <strong>Material and ... <strong>Aim:</strong> To carry out a 3D vector reconstruction of the typical cervical vertebra from anatomical sections of the “Korean Visible Human” for educational purposes. <strong>Material and Methods:</strong> The anatomical subject was a 33-year-old Korean man who died of leukemia. He was 164 cm tall and weighed 55 kg. This man donated his body to science. Her body was frozen and cut into several anatomical sections after an MRI and CT scan. These anatomical sections were made using a special saw called a 0.2 mm thick cryomacrotome. Thus 8100 cuts were obtained. Only the sections numbered 940 to 1200 were used for our study. A segmentation by manual contouring of the different parts of the typical cervical vertebra was made using the software Winsurf version 3.5 on a laptop PC running Windows 7 equipped with a Ram of 8 gigas. <strong>Results:</strong> Our 3D vector model of the typical cervical vertebra is easily manipulated using the Acrobat 3DPDF interface. Each part of the vertebra accessible in a menu can be displayed, hidden or made transparent, and 3D labels are available as well as educational menus for learning anatomy. <strong>Conclusion: </strong>This original work constitutes a remarkable educational tool for the anatomical study of the typical cervical vertebra and can also be used as a 3D atlas for simulation purposes for training in therapeutic gestures. 展开更多
关键词 Three-Dimensional Anatomy Korean Human Visible Modeling of the Typical cervical vertebra Virtual Reality 3D Reconstruction Virtual Dissection Surgical Simulation Surgical Training
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Submandibular retropharyngeal cervical vertebra hook-plate for the treatment of C2 vertebral body tumors
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作者 晏怡果 《外科研究与新技术》 2011年第2期121-122,共2页
Objective To evaluate the clinical results of sub-mandibular retropharyngeal cervical vertebrahook-plate (RCHP)reconsruction for the treatment of of C2 vertebral body tumors.Methods Nine patents with C2 vertebral body... Objective To evaluate the clinical results of sub-mandibular retropharyngeal cervical vertebrahook-plate (RCHP)reconsruction for the treatment of of C2 vertebral body tumors.Methods Nine patents with C2 vertebral body tumors 展开更多
关键词 BODY Submandibular retropharyngeal cervical vertebra hook-plate for the treatment of C2 vertebral body tumors
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Another Look at Skeletal Maturation Using Hand Wrist and Cervical Vertebrae Evaluation 被引量:1
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作者 Thomas J. Cangialosi V. Jason Vives 《Open Journal of Orthopedics》 2018年第1期1-10,共10页
Introduction and Aims—The Growth stage of a patient can have considerable influence on diagnosis, treatment goals, timing and planning and the eventual outcome of orthodontic/orthopedic treatment. The purpose of this... Introduction and Aims—The Growth stage of a patient can have considerable influence on diagnosis, treatment goals, timing and planning and the eventual outcome of orthodontic/orthopedic treatment. The purpose of this study was to analyze associations between the cervical vertebrae maturation score (CVMS) and skeletal maturation index (SMI). The second objective was to determine the reproducibility of the measurements on lateral cephalograms and hand-wrist radiographs. Materials and Methods—Lateral cephalometric and left hand-wrist radiographs of 92 untreated subjects (44 females and 48 males) aged from 8 to 17 years were obtained from the files of the Columbia University, Division of Orthodontics and measured for growth stage using cervical vertebrae and hand-wrist methods. Results—A high correlation was revealed between the hand-wrist and cervical vertebrae measurements. The Spearman’s rho correlation coefficient was 0.925 and significant at the 0.01 level. The correlation between hand-wrist and age (0.665, p < 0.01) was slightly greater than that of the CVMS (0.611, p < 0.01). Intra rater reliability was high. When the three categorically modified methods of the Fishman’s 11 skeletal maturation stages in hand and wrist analysis were used to compare with CVMS, methods 2 and 3 were both statistically significantly different according to the Wilcoxon signed ranks test and the Sign test at a significance level of less than 0.05. However, for method 1, the tests showed probability scores of 0.028 and 0.151, respectively, showing no significant difference at the 0.01 level in the Wilcoxon Signed Ranks Test, and no significant difference in the 0.01 and 0.05 level in the Signed Test. Conclusions—The Fishman’s hand and wrist skeletal maturation index and Bacetti’s cervical vertebrae maturation stages are both useful tools in evaluating growth stages. Fishman’s hand-wrist method is slightly more accurate. 展开更多
关键词 SKELETAL MATURATION cervical vertebraE Hand-Wrist
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Effect of AXIS lateral mass screw-plate internal fixation system on functional recovery of spinal cord in fracture of lower cervical vertebrae 被引量:4
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作者 昌耘冰 尹庆水 +5 位作者 夏虹 吴增晖 徐国洲 张余 权日 章凯 《中国临床康复》 CSCD 2003年第6期998-999,T004,共3页
AIM:To evaluate the methods and results of the AXIS lateral mass screw plate system in the treating of lower cervical spine injury.METHODS:29 cases of lower cervical vertebrae injury were fixed with AXIS system.All of... AIM:To evaluate the methods and results of the AXIS lateral mass screw plate system in the treating of lower cervical spine injury.METHODS:29 cases of lower cervical vertebrae injury were fixed with AXIS system.All of them were followed up for more than 1 year.RESULTS:All cases had a good bone union without malformation.We found no complication of the injury to the vertebral arteries or nerves.There was no loosening of the plate and screw. CONCLUSION:AXIS lateral mass screw plate system has the characteristic of stable,simple and safe and is suitable for the treatment of lower cervical spine injury. 展开更多
关键词 AXIS侧板钢板螺钉 内固定系统 下颈椎骨折脱位 颈髓功能恢复
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Removal of the Shadow of Cervical Vertebrae from Panoramic X-Ray Images with a Tomosynthesis Method
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作者 Koichi Ogawa Jyunpei Yamamoto +1 位作者 Masatoshi Yanase Akitoshi Katsumata 《Open Journal of Medical Imaging》 2013年第4期156-164,共9页
The purpose of this study is to remove the shadow of cervical vertebrae from dental panoramic x-ray images with a tomosynthesis method and improve the contrast of details in both the teeth and jaw bones. To measure th... The purpose of this study is to remove the shadow of cervical vertebrae from dental panoramic x-ray images with a tomosynthesis method and improve the contrast of details in both the teeth and jaw bones. To measure the shift-amount at each angular position that was required for reconstruction of panoramic x-ray images of the dental arch, strip images of a calibration phantom were acquired. Then, a shift-amount table was prepared from these images, and the other shift-amount table, which was used to reconstruct a panoramic image of the cervical vertebrae, was prepared by inverting the curve of the shift-amount table upside down. Using these two tables, images focused on the dental arch and cervical vertebrae of a patient were made with the original strip data of the patient. The shadow of the cervical vertebrae appearing on the image focused on the dental arch was removed using the two above-mentioned images and blurring functions defined at two focusing geometries. The validity of the proposed method was evaluated with clinically acquired data of two patients. The shadow of the cervical vertebrae was successfully eliminated, and the contrast of the front teeth and detailed structures of the jaw bones was improved. The results of the experiments showed that our proposed method was significantly effective in removing the shadow of the cervical vertebrae from conventional panoramic x-ray images. 展开更多
关键词 PANORAMIC RADIOGRAPHY cervical vertebraE SUBTRACTION Technique
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Continuous epidural block of the cervical vertebrae for cervicogenic headache 被引量:12
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作者 HE Ming-wei NI Jia-xiang GUO Yu-na WANG Qi YANG Li-qiang LIU Jing-jie 《Chinese Medical Journal》 SCIE CAS CSCD 2009年第4期427-430,共4页
Background Cervicogenic headache (CEH) is caused by a structural abnormality in the cervical spine. Available treatments for CEH include medical therapy, local botulinum toxin injection, cervical epidural corticoste... Background Cervicogenic headache (CEH) is caused by a structural abnormality in the cervical spine. Available treatments for CEH include medical therapy, local botulinum toxin injection, cervical epidural corticosteroid injection, and surgery. The objective of this study was to investigate the safety and efficacy of a continuous epidural block of the cervical vertebra. Methods Medical records were retrospectively analyzed for 37 patients diagnosed with CEH treated by a continuous epidural block of the cervical vertebra with lidocaine, dexamethasone, and saline (5 ml/min) for 3-4 weeks and triamcinolone acetonide 5 mg once weekly for 3-4 weeks. Pain was measured via the visual analogue scale (VAS) in combination with quality of life assessment. Outcome measures were patient-reported days with mild or moderate pain, occurrence of severe pain, and the daily oral dosages of non-steroidal anti-inflammatory drug use (NSAID). Results In the 3 months immediately preceding placement of the epidural catheter, the mean number of days with mild or moderate pain was 22.0±4.3. The mean occurrence of severe pain was (3.20±0.75) times and the mean oral dosage of NSAID was (1267±325) mg. During the first 6 months after epidural administration of lidocaine and corticosteroids, the mean number of days with mild or moderate pain, the mean occurrence of severe pain, and the mean daily oral dosages of NSAIDs were significantly decreased compared to 3-month period immediately preceding treatment (P 〈0.01). By 12 months post-treatment, no significant difference in these three outcome measures was noted. Conclusions Continuous epidural block of the cervical vertebra for patients with CEH is effective for at least six months. Further research is needed to elucidate mechanisms of action and to prolong this effect. 展开更多
关键词 cervicogenic headache epidural block of cervical vertebra aseptic inflammation triamcinolone acetonide
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Anatomic comparison of transarticular screws with latera mass screws in cervical vertebrae 被引量:6
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作者 刘观燚 徐荣明 +3 位作者 马维虎 阮永平 孙韶华 黄雷 《Chinese Journal of Traumatology》 CAS 2007年第2期67-71,共5页
Objective: To compare the potential incidence of nerve root (ventral and dorsal ramus) injury caused by cervical transarticular screws and Roy-Camille lateral mass screws. Methods : Insertion techniques with Kleka... Objective: To compare the potential incidence of nerve root (ventral and dorsal ramus) injury caused by cervical transarticular screws and Roy-Camille lateral mass screws. Methods : Insertion techniques with Klekamp transarticular screws and Roy-Camille lateral mass screws were respectively performed in this study. Each technique involved four specimens and 40 screws, which were inserted from C3 to C7. And 20-mm-long screws were used to overpenetrate the ventral cortex. The anterolateral aspect of the cervical spine was carefully dissected to allow observation of the screw-ramus relationship. Results : The overall percentage of nerve invasion was significantly lower with Klekamp (45%) technique than with Roy-Camille ( 85 %) technique ( P 〈 0.05 ). The largest percentage of nerve invasion for Klekamp transarticular screws was found at the dorsal ramus (25 % ), followed by the ventral ramus ( 15 % ) and the bifurcation of the ventral dorsal ramus ( 5 % ). The largest percentage of nerve invasion for Roy-Camille lateral mass screws was found at the ventral ramus (80 % ). Conclusion : The potential risk of nerve root invasion is lower with Klekamp transarticular screws than with Roy Camille lateral mass screws. 展开更多
关键词 cervical vertebrae Fixators internal ANATOMY Transarticular screws
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Twenty One Cases of Vertebral-Artery-Type Cervical Spondylosis Treated with Acupuncture and Moxibustion 被引量:4
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作者 庄礼兴 周永生 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2000年第4期280-281,共2页
The vertebral-artery-type cervical spondylosis iscommonly encountered in the middle aged and oldpeople.The author has treated 21 cases of vertebral-artery-type cervical spondylosis by acupuncture andmoxibustion,with t... The vertebral-artery-type cervical spondylosis iscommonly encountered in the middle aged and oldpeople.The author has treated 21 cases of vertebral-artery-type cervical spondylosis by acupuncture andmoxibustion,with the other 19 cases treated only byacupuncture as the controls.The results are reportedas follows.Clinical 展开更多
关键词 Acupuncture Therapy cervical vertebrae MOXIBUSTION Humans Spinal Osteophytosis
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Dr.Zhang's Experience in Massotherapy for Treatment of Vertebral-Artery-Type Cervical Spondylopathy 被引量:3
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作者 谢利民 张涛 王新中 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2002年第1期35-37,共3页
Thirty cases of vertebral-artery-type cervical spondylopathy were treated by Dr. Zhang Tao's technique. The cure rate was 50%, and the total effective rate was 100%.
关键词 cervical vertebrae ADULT Aged FEMALE Humans Male MASSAGE Middle Aged Spinal Osteophytosis
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The clinical characteristics and therapy of syndrome of craniocerebral- cervical vertebral injury 被引量:3
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作者 刘胜 刘远新 王诚 《Chinese Journal of Traumatology》 CAS 2005年第3期183-185,共3页
Objective: To explore the clinical characteristics and new treatment for syndrome of craniocerebral-cervical vertebral injury. Methods: The clinical data of 52 patients with head injury accompanied by neck injury were... Objective: To explore the clinical characteristics and new treatment for syndrome of craniocerebral-cervical vertebral injury. Methods: The clinical data of 52 patients with head injury accompanied by neck injury were analyzed retrospectively. Results: Craniocerebral injury could result in damage to cervical vertebrae, muscles, vessels and nerves, and even cause vertebral artery injury, which may lead to insufficient blood-supply of vertebral-basal artery. All patients were treated with cervical vertebral traction and the results were good. Conclusions: Acute craniocerebral injury with symptom of insufficient blood-supply of vertebral-basal artery, evident neurosis and atlas-axis half-dislocation in X-ray should be treated by cervical vertebral traction, which will yield better outcome. 展开更多
关键词 Trauma nervous system cervical vertebrae Biomedical research
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RADIOGRAPHIC MEASUREMENT OF THE PREVERTEBRAL SOFT TISSUE OF CERVICAL VERTEBRAE 被引量:4
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作者 戴力杨 贾连顺 《Chinese Medical Journal》 SCIE CAS CSCD 1994年第6期73-75,共3页
The radiographic measurement of the prevertebral soft tissue of cervical vertebrae was performed in 87 normal adults. According to the results of the measurement, 10 mm and 20 mm were used as the upper limit normal va... The radiographic measurement of the prevertebral soft tissue of cervical vertebrae was performed in 87 normal adults. According to the results of the measurement, 10 mm and 20 mm were used as the upper limit normal values of the retropharyngeal and retrotracheal space respectively. We conclude that although the widened soft tissue space is of diagnostic significance, diagnosis should be made on the basis of analysis of the injury history, clinical manifestation and imaging examination. 展开更多
关键词 CS RADIOGRAPHIC MEASUREMENT OF THE PREvertebraL SOFT TISSUE OF cervical vertebraE
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Radiographic Comparisons between Middle Phalanx of the Third Finger and Cervical Vertebrae Maturation for the Assessment of Skeletal Maturity
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作者 Meghana HC Sri Charan KN +1 位作者 Pramod GV Ashok L 《Journal of Forensic Science and Medicine》 2016年第3期141-145,共5页
Sexual maturation characteristics,chronologic age,dental,and skeletal development are some of the more commonly used means to identify stages of growth.Hand wrist radiograph and cervical vertebrae maturation index(CVM... Sexual maturation characteristics,chronologic age,dental,and skeletal development are some of the more commonly used means to identify stages of growth.Hand wrist radiograph and cervical vertebrae maturation index(CVMI)are more reliable for skeletal development assessment.This study was conducted to compare the skeletal maturity using the maturational stages of middle phalanx of the third finger(MP3)with cervical vertebrae and then to evaluate the reliability of MP3 as a sole skeletal maturity assessment method.Chronological age group of the 112 subjects was 8-16 years for females and 10-18 years for males were selected for the study.Lateral cephalometry and intra oral peri‑apical radiograph of MP3 of the left hand of each patient were taken.Then,statistically it was correlated which was highly significant.Skeletal maturation of MP3 and cervical vertebrae stages progress with advancing chronological age.Female subjects were advanced on an average of 2 years earlier than male subjects at every stages of growth spurt.These results suggest that MP3 can substitute CVMI for skeletal maturity evaluation to determine optimal treatment time for various orthodontic procedures.The developmental stages of the MP3 could be used as a sole indicator in assessing the skeletal maturity. 展开更多
关键词 cervical vertebrae maturation index stages middle phalanx of the third finger stages skeletal maturity
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The Prevention and Cure of Cervical Vertebra Disease
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作者 WANG LONGLING and PENG CHENG ZHAO NING 《Women of China》 1994年第3期45-45,共1页
CERVICAL vertebra problems are common and usually occur in middleaged and elderly people, especially those who often bend over. The symptoms patients might encounter are dizziness, headache, neck and shoulder pain and... CERVICAL vertebra problems are common and usually occur in middleaged and elderly people, especially those who often bend over. The symptoms patients might encounter are dizziness, headache, neck and shoulder pain and numbness, and even viscera trouble. The following exercises are a simple and convenient way to prevent and cure cervical vertebra problems. If you continue doing the exercises, you can prevent and cure them. Here are the exercises step by step: 展开更多
关键词 The Prevention and Cure of cervical vertebra Disease
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颈椎前路椎体次全切除减压融合钛笼倾斜角度与术后钛笼下沉的有限元分析 被引量:1
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作者 李智斐 杨尹 +3 位作者 陈华龙 梁钦秋 钟远鸣 张翼升 《中国组织工程研究》 CAS 北大核心 2024年第9期1313-1319,共7页
背景:颈椎前路椎体次全切除减压融合是治疗颈椎退行性疾病的常规手段,钛笼是椎体次全切后维持颈椎稳定的重要植入物,近几年临床发现,术后很多患者出现钛笼下沉等并发症,其原因存在很大争议。目的:探讨颈椎前路椎体次全切除减压融合钛笼... 背景:颈椎前路椎体次全切除减压融合是治疗颈椎退行性疾病的常规手段,钛笼是椎体次全切后维持颈椎稳定的重要植入物,近几年临床发现,术后很多患者出现钛笼下沉等并发症,其原因存在很大争议。目的:探讨颈椎前路椎体次全切除减压融合钛笼倾斜角度与术后钛笼下沉的内在生物力学关系。方法:通过正常人体颈椎CT图像建立C_(4)-C_(6)节段三维有限元模型,在三维模型中模拟颈椎前路C5椎体次全切除减压融合,并模拟置入不同倾斜角度的钛笼(-6°至-1°称之为负角度,即钛笼前缘短于钛笼后缘为负角度;1°-6°称之为正角度,即钛笼前缘长于钛笼后缘为正角度)。在C_(4)椎体上分别施加预载荷50,100和150 N的应力作用,记录钛笼与C_(4)下终板和C_(6)上终板各个接触点的应力值(钛网接触面的各7个应力接触点),并进行统计学分析。结果与结论:①钛笼倾斜角正角度组和负角度组分别在C_(4)椎体施加50,100和150 N应力下产生的数据经Mann-Whitn检验发现,差异均有显著性意义(P<0.05);钛笼倾斜角正角度组在50,100和150 N应力条件下,其离散系数均小于负角度组;②在C_(4)椎体施加50,100和150 N应力条件下,钛笼倾斜角正角度组内Wilcoxon符号秩检验发现当角度设为1°-5°时,差异无显著性意义(P>0.05);但当钛笼倾斜角设为6°时,差异有显著性意义(P<0.05);③在C_(4)椎体施加50,100和150 N应力条件下,钛笼倾斜角负角度组内Wilcoxon符号秩检验发现当倾斜角设为-1°至-6°时,差异无显著性意义(P>0.05);④提示矢状位上,钛笼倾斜角为正角度时比倾斜角为负角度时更加稳定,更加适合临床使用;钛笼倾斜角在1°-5°区间内表现相对稳定,当倾斜角为6°时则稳定性开始下降,容易出现术后钛笼下沉的并发症,临床上根据术中情况更适合选用倾斜角度在1°-5°的钛笼,以提高疗效。 展开更多
关键词 颈椎 颈椎前路椎体次全切除 钛笼倾斜角 有限元分析 生物力学
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于氏丛刺联合颈椎扳法治疗神经根型颈椎病疗效观察
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作者 许嘉犇 刘士硕 +1 位作者 陈柏臻 戴缙 《辽宁中医杂志》 CAS 北大核心 2024年第10期146-149,共4页
目的探讨于氏头穴丛刺联合颈椎定位旋转扳法治疗神经根型颈椎病(CSR)的疗效及对颈肌MRI影像学指标、颈椎生理曲度变化的影响。方法选取2022年1月—2023年1月医院收治的110例CSR患者为研究对象,随机分为对照组、观察组,各55例,对照组给... 目的探讨于氏头穴丛刺联合颈椎定位旋转扳法治疗神经根型颈椎病(CSR)的疗效及对颈肌MRI影像学指标、颈椎生理曲度变化的影响。方法选取2022年1月—2023年1月医院收治的110例CSR患者为研究对象,随机分为对照组、观察组,各55例,对照组给予口服西药+曲度牵引治疗,观察组在对照组的基础上给予颈椎定位旋转扳法联合于氏头穴丛刺治疗。4周后比较颈肌MRI指标、颈椎生理曲度变化、颈椎功能与疼痛情况,评估治疗效果。结果治疗4周后,观察组左侧、右侧胸锁乳突肌长径与短径均较短(P<0.05),左侧、右侧斜方肌长径与短径均较长(P<0.05)。治疗4周后,观察组患者C_(2)~C_(7)Cobb角均大于对照组(P<0.05)。治疗4周后,观察组颈椎功能障碍指数(NDI)、视觉模拟评分法(VAS)评分均低于对照组(P<0.05)。治疗4周后,观察组临床有效率高于对照组(96.36%vs 85.45%,P<0.05)。结论在口服西药+曲度牵引治疗的基础上结合于氏头穴丛刺+颈椎定位旋转扳法,有利于改善CSR患者颈肌MRI影像学指标,促进颈椎生理曲度恢复,改善颈椎功能障碍与疼痛情况,提升治疗效果。 展开更多
关键词 于氏头穴丛刺 颈椎定位旋转扳法 神经根型颈椎病 颈椎生理曲度 颈椎功能 疼痛
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颈椎前路椎体可控前移融合术和颈椎前路椎体次全切除融合术治疗多节段脊髓型颈椎病伴椎管狭窄的短期疗效
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作者 王海波 李欣 +2 位作者 王子然 陈德纯 卢一生 《脊柱外科杂志》 2024年第4期222-227,共6页
目的 评估颈椎前路椎体可控前移融合术(ACAF)和颈椎前路椎体次全切除融合术(ACCF)治疗多节段脊髓型颈椎病伴椎管狭窄(MCSMSS)的临床疗效。方法 回顾性分析2021年6月—2022年6月收治的61例MCSMSS患者临床资料,按手术方式分为ACAF组(n=28)... 目的 评估颈椎前路椎体可控前移融合术(ACAF)和颈椎前路椎体次全切除融合术(ACCF)治疗多节段脊髓型颈椎病伴椎管狭窄(MCSMSS)的临床疗效。方法 回顾性分析2021年6月—2022年6月收治的61例MCSMSS患者临床资料,按手术方式分为ACAF组(n=28)和ACCF组(n=33)。采用日本骨科学会(JOA)评分和疼痛视觉模拟量表(VAS)评分评价临床疗效,测量手术前后C_(2~7) Cobb角评价颈椎曲度恢复情况,并记录术中、术后并发症发生情况。结果 所有手术顺利完成,患者随访时间> 6个月。2组末次随访JOA评分、VAS评分及C_(2~7) Cobb角较术前改善,差异均有统计学意义(P < 0.05);且ACAF组末次随访JOA评分、JOA评分改善率、VAS评分优于ACCF组,差异均有统计学意义(P < 0.05)。ACAF组术后并发症发生率为21.4%(6/28),ACCF组为36.4%(12/33),组间差异有统计学意义(P < 0.05)。末次随访时2组手术节段融合率均为100%。结论 ACAF和ACCF治疗MCSMSS均有较好的短期临床疗效,ACAF可作为治疗MCSMSS的一种选择方案,其远期临床疗效尚须进一步研究评估。 展开更多
关键词 颈椎 颈椎病 椎管狭窄 椎间盘切除术 脊柱融合术 减压术 外科
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颈椎后路单开门椎管扩大椎板成形术治疗脊髓型颈椎病合并颈源性头痛的临床疗效
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作者 杨明坤 刘泯邑 +3 位作者 贾新冬 杜涛 吴登普 张旭 《脊柱外科杂志》 2024年第1期1-4,共4页
目的探讨颈椎后路单开门椎管扩大椎板成形术治疗多节段脊髓型颈椎病(MCSM)合并颈源性头痛的临床疗效。方法2018年1月—2021年6月,采用颈椎后路单开门椎管扩大椎板成形术治疗MCSM合并颈源性头痛患者31例,术前及术后1、3、12个月采用日本... 目的探讨颈椎后路单开门椎管扩大椎板成形术治疗多节段脊髓型颈椎病(MCSM)合并颈源性头痛的临床疗效。方法2018年1月—2021年6月,采用颈椎后路单开门椎管扩大椎板成形术治疗MCSM合并颈源性头痛患者31例,术前及术后1、3、12个月采用日本骨科学会(JOA)评分评价临床疗效,采用颈椎功能障碍指数(NDI)“头痛问题”Q5评分评价头痛程度。结果所有手术顺利完成,所有患者随访>12个月。患者术后各随访时间点JOA评分较术前显著改善,差异均有统计学意义(P<0.05)。除1例轻度头痛患者术后头痛无缓解,其余患者头痛均不同程度缓解。结论颈椎后路单开门椎管扩大椎板成形术能缓解MCSM合并颈源性头痛患者的临床症状。 展开更多
关键词 颈椎 颈椎病 头痛 减压术 外科
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不同负压引流方式联合氨甲环酸对颈椎后路单开门手术病人失血量、引流量及并发症的影响
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作者 刘红正 郜顺兴 张楠 《安徽医药》 CAS 2024年第5期920-924,共5页
目的探究不同负压引流方式联合氨甲环酸对颈椎后路单开门手术的多节段脊髓型颈椎病病人失血量、引流量及并发症的影响。方法按照研究目标设定的纳入、排除标准,将2018年10月至2020年10月沧州中西医结合医院接受颈椎后路单开门手术的多... 目的探究不同负压引流方式联合氨甲环酸对颈椎后路单开门手术的多节段脊髓型颈椎病病人失血量、引流量及并发症的影响。方法按照研究目标设定的纳入、排除标准,将2018年10月至2020年10月沧州中西医结合医院接受颈椎后路单开门手术的多节段脊髓型颈椎病病人182例作为研究对象进行回顾性研究,根据负压引流情况分为A组(持续负压引流联合氨甲环酸,46例)、B组(间断负压引流联合氨甲环酸,46例)、C组(持续负压引流,不使用氨甲环酸,45例)及D组(间断负压引流,不使用氨甲环酸,45例)。对比四组病人手术时间、总失血量、术后引流量、术后72 h血红蛋白水平,生化指标[活化部分凝血活酶时间(APTT)、凝血酶原时间(PT)、纤维蛋白原(Fib)],术后疼痛视觉模拟评分(VAS)及日本骨科协会评估治疗分数(JOA)评分。结果手术后,四组手术时间、总失血量比较差异无统计学意义(P>0.05),四组术后24 h引流量[A组(191.21±22.38)mL、B组(175.34±17.85)mL、C组(205.62±20.78)mL、D组(210.43±20.14)mL]、术后隐性失血量[A组(275.37±30.12)mL、B组(251.42±26.12)mL、C组(321.47±35.62)mL、D组(296.78±32.14)mL]、引流管留置时间[A组(1.85±0.51)d、B组(1.45±0.42)d、C组(2.32±0.65)d、D组(2.78±0.78)d]比较差异有统计学意义(P<0.05),其中B组最优,其次为A组。四组术后72 h血红蛋白水平[A组(112.43±12.57)g/L、B组(120.53±17.85)g/L、C组(103.47±10.78)g/L、D组(102.58±11.12)g/L]均明显降低(P<0.05),但是B组下降最少,其次为A组。四组血清APTT、PT、Fib水平差值比较差异有统计学意义(P<0.05),其中A组各指标变化最明显,B组血清APTT水平变化最小;四组VAS评分与JOA评分比较差异无统计学意义(P>0.05);四组发热、脑脊液漏、血肿压迫脊髓、下肢深静脉血栓、心血管事件等并发症发生情况比较差异无统计学意义(P>0.05)。结论颈椎后路单开门手术中应用间断负压引流联合氨甲环酸利于手术时间缩短,并减少术后引流量及隐性失血量,改善血红蛋白水平。 展开更多
关键词 颈椎 椎管 持续负压引流 颈椎后路单开门手术 氨甲环酸 凝血酶原时间 间断负压引流
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