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Изучение сравнительных показателей ротационной стабильности транспедикулярного остеосинтеза позвоночника в эксперименте

Изучение сравнительных показателей ротационной стабильности транспедикулярного остеосинтеза позвоночника в эксперименте

Abstract

Objectives. To estimate macroscopically the strength, rigidity and limit of elasticity in the spinal segments transpedicular fixator system. versus similar characteristics of the intact spine under dislocating rotational loads. Material and Methods. Еxperiments with anatomic specimens of Th12-L2 segments were performed. Unstable damages of L1 and transpedicular fixation with 4 screw transpedicular spinal system were imitated. All specimens were exposed to the testing rotational load in universal test machine Zwick 1464. Results. It is established that under rotational load general strength of the injured Th12-L1-L2 spinal segments fused with transpedicular fixator is 20 % lower than that in a corresponding intact spine segment. Rigidity parameters of fused segments are 17.5 % lower than those of intact segments. Destabilization of «spinal segments transpedicular fixator» system under rotational loads is caused by the compression of a bone substance in Th12 and L2 bodies with screws and a turn of screws around longitudinal rods due to a rod slip in anchoring elements. Conclusion. The performed study may serve a basis for following data analysis from a viewpoint of metal resistance and for development of optimal rehabilitation loads to the injured spine during postoperative period.

Цель исследования. Макроскопическая оценка прочности, показателей жесткости и предела упругости системы «позвоночные сегменты транспедикулярный металлофиксатор». Материал и методы. Проведены эксперименты с анатомическими препаратами позвоночных сегментов Th12-L2. Имитировали нестабильное повреждение L1 и транспедикулярный остеосинтез 4-винтовой системой. Препараты подвергали воздействию ротационной нагрузки на универсальной испытательной машине «Zwick 1464». Результаты. Общая прочность синтезированных Th12-L1-L2 сегментов ниже физиологической прочности неповрежденного отдела позвоночника в среднем на 20 %. Показатели жесткости Th12-L1-L2 сегментов в условиях транспедикулярного остеосинтеза на 17,5 % ниже аналогичных показателей контрольной серии. При ротационных воздействиях дестабилизация системы «позвоночные сегменты 4-винтовой транспедикулярный металлофиксатор» происходит за счет импрессии костной ткани тел Th12 и L2 вокруг винтов и разворота винтов на продольных штангах из-за проскальзывания штанг в элементах крепления. Заключение. Проведенное исследование может служить основой для последующего анализа данных с позиций сопротивления материалов и обоснования оптимальных реабилитационных нагрузок на травмированный позвоночник в послеоперационном периоде.

Keywords

ПОЗВОНОЧНИК, ТРАНСПЕДИКУЛЯРНЫЙ ОСТЕОСИНТЕЗ, ЭКСПЕРИМЕНТ, ПРОЧНОСТЬ, ЖЕСТКОСТЬ

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold