Applied anatomy and biomechanics of atlas pedicle screw implantation
10.3969/j.issn.2095-4344.2014.26.016
- VernacularTitle:寰椎椎弓根螺钉置入的应用解剖及生物力学评价
- Author:
Zhiqiang CHANG
;
Pei ZHANG
;
Yimin WU
;
Pengfei LI
- Publication Type:Journal Article
- Keywords:
bone nails;
fracture fixation,intramedul ary;
atlanto-occipital joint;
biomechanics
- From:
Chinese Journal of Tissue Engineering Research
2014;(26):4185-4189
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:A series of pathological changes were found in atlas, including atlas dislocation, atlanto-occipital junction instability and vertebral fractures. Atlantoaxial pedicle screw, nail and rod fixation or nail plate fixation is a novel repair method recently proposed, and has certain advantages. OBJECTIVE:To compare the repair effects of atlas pedicle screw on different types of atlas lesions. METHODS:A total of 42 fresh vertebrae were obtained from Department of Human Anatomy, Basic Medical School, Inner Mongolia Medical University. In accordance with bone thickness of sagittal vertebral artery groove bottom, vertebrae were divided into three types:type I (common type), type II (light variation), and type III (severe variation). Al samples were subjected to atlas pedicle screw fixation. RESULTS AND CONCLUSION:The screw pul out force in different bone densities of vertebrae was not the same. Vertebrae with great thickness and great bone density had big screw pul out force (P<0.05). However, the screw in different cortical bone of vertebrae had the same function. No compression on blood vessels or phenomenon affecting vertebral activity was visible. These results indicated that atlas pedicle screw implantation showed good safety, no side effects, did not affect the normal work and life of patients.
