零切迹颈椎椎间融合器设计与研究进展
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摘要
零切迹颈椎椎间融合器是对传统融合术产品的改进,对新兴人工椎间盘产品的必要补充,应用时能够保留传统融合术的优势,又能降低术后并发症,并能应用在置换术的禁忌症状下。本文汇总了近年来临床上普遍认可、广泛应用的零切迹颈椎融合器产品,综述了零切迹颈椎融合器的结构设计和材料研究进展,并结合最新研究趋势,展望了零切迹颈椎椎间融合器的未来发展方向。
Zero profile cervical interbody cage is an improvement of traditional fusion products and necessary supplement of emerging artificial intervertebral disc products. When applied in Anterior Cervical Decompression Fusion(ACDF), zero profile cervical interbody cage can preserve the advantages of traditional fusion and reduce the incidence of postoperative complications. Moreover, zero profile cervical interbody cage can be applied under the tabu symptoms of Artificial Cervical Disc Replacement(ACDR). This article summarizes zero profile interbody cage products that are commonly recognized and widely used in clinical practice in recent years, and reviews the progress of structure design and material research of zero profile cervical interbody cage products. Based on the latest clinical demands and research progress, this paper also discusses the future development directions of zero profile interbody cage.
Zero profile cervical interbody cage is an improvement of traditional fusion products and necessary supplement of emerging artificial intervertebral disc products. When applied in Anterior Cervical Decompression Fusion(ACDF), zero profile cervical interbody cage can preserve the advantages of traditional fusion and reduce the incidence of postoperative complications. Moreover, zero profile cervical interbody cage can be applied under the tabu symptoms of Artificial Cervical Disc Replacement(ACDR). This article summarizes zero profile interbody cage products that are commonly recognized and widely used in clinical practice in recent years, and reviews the progress of structure design and material research of zero profile cervical interbody cage products. Based on the latest clinical demands and research progress, this paper also discusses the future development directions of zero profile interbody cage.
引文
1柯尊华,王静怡.颈椎病流行病学及发病机理研究进展.颈腰痛杂志,2014,35(1):62-64.
2吴佳润,赵斌霞.颈椎病易发群体发病率与主要发病原因的研究.当代体育科技,2015,5(23):26-27.
3Hisev M S,Bae H W,Davis R,et al.Multi-center,prospective,randomized,controlled investigational device exemption clinical trial comparing Mobi-C Cervical Artificial Disc to anterior discectomy and fusion in the treatment of symptomatic degenerative disc disease in the cervical spine.International journal of spine surgery,2014,8:7.
4Skovrlj B,Lee D H,Caridi J M,et al.Reoperations following cervical disc replacement.Asian Spine J,2015,9(3):471-482.
5Quinn J C,Kiely P D,Lebl D R,et al.Anterior surgical treatment of cervical spondylotic myelopathy.HSS J,2015,11(1):15-25.
6Lane P D,Cox J L,Gaskins R B,et al.Early radiographic and clinical outcomes study evaluating an integrated screw and interbody spacer for One-and Two-Level ACDF.International journal of spine surgery,2015,9:39.
7Wang Zhiwen,Jiang Weimin,Li Xuefeng,et al.The application of zero-profile anchored spacer in anterior cervical discectomy and fusion.Eur Spine J,2015,24(1):148-154.
8Yang Haisong,Chen Deyu,Wang Xinwei,et al.Zero-profile integrated plate and spacer device reduces rate of adjacent-level ossification development and dysphagia compared to ACDF with plating and cage system.Arch Orthop Trauma Surg,2015,135(6):781-787.
9Hofstetter C P,Kesavabhotla K,Boockvar J A.Zero-profile Anchored Spacer Reduces Rate of Dysphagia Compared With ACDF With Anterior Plating.J Spinal Disord Tech,2015,28(5):E284-E290.
10黄吉军,杨建东,陶玉平,等.颈椎Zero-P植入与前路减压植骨融合术的对照研究.实用骨科杂志,2014,20(4):289-292.
11Chong E,Pelletier M H,Mobbs R J,et al.The design evolution of interbody cages in anterior cervical discectomy and fusion:a systematic review.BMC Musculoskelet Disord,2015,16:99.
12Rao P J,Pelletier M H,Walsh W R,et al.Spine interbody implants:material selection and modification,functionalization and bioactivation of surfaces to improve osseointegration.Orthop Surg,2014,6(2):81-89.
13刘延群,张俊忠.不同材料椎间融合器的生物力学性能评估.中国医学创新,2010,7(36):186-188.
14王成健,孟增东,张玉勤,等.镍钛形状记忆合金的生物相容性研究进展.生物骨科材料与临床研究,2016,13(1):65-68.
15王华强,滕勇.腰椎椎间融合材料研究进展[J].国际骨科学杂志,2016,37(1):14-17.
16Yoo M,Kim W H,Hyun S J,et al.Comparison between two different cervical interbody fusion cages in one level stand-alone ACDF:carbon fiber composite frame cage versus polyetheretherketone cage.Korean Journal of Spine,2014,11(3):127-135.
17 Hak D J,Mauffrey C,Seligson D,et al.Use of carbon-fiberreinforced composite implants in orthopedic surgery.Orthopedics,2014,37(12):825-830.
18李嵩,祁敏,曹鹏,等.可吸收脊柱椎间融合器的研究与应用进展.脊柱外科杂志,2014,12(2):103-106.
19Li Xiaohui,Song Yueming,Duan Hong.Reconstruction of segmental stability of goat cervical spine with poly(D,1-lactic acid)cage.Orthop Surg,2015,7(3):266-272.
20Smith A J,Arginteanu M,Moore F,et al.Increased incidence of cage migration and nonunion in instrumented transforaminal lumbar interbody fusion with bioabsorbable cages.J Neurosurg Spine,2010,13(3):388-393.
21陶敬桥,张海钟.不同固定材料治疗下领骨髁状突骨折疗效比较.现代中西医结合杂志,2013,22(34):3797-3798.
22王运锋,何蕾,郭薇.医用钛合金的研究及应用现状.钛工业进展,2015,32(1):1-6.
23Reigstad O,Johansson C,Stenport V,et al.Different patterns or bone fixation with hydroxyapatite and resorbable CaP coatings in the rabbit tibia at 6,12,and 52 weeks.J Biomed Mater Res B Appl Biomater,2011,99(1):14-20.
24Chen Yu,Wang Xinwei,Lu Xuhua,et al.Comparison of Titanium and polyetheretherketone(PEEK)cages in the surgical treatment of multilevel cervical spondylotic myelopathy:a prospective,randomized,control study with over 7-year follow-up.Eur Spine J,2013,22(7):1539-1546.
25Stein M I,Nayak A N,Gaskins R B,et al.Biomechanics of an integrated interbody device versus ACDF anterior locking plate in a single-level cervical spine fusion construct.Spine J,2014,14(1):128-136.
26Kienle A,Graf N,Wilk H J.Does impaction of titanium-coated interbody fusion cages into the disc space cause wear debris or delamination.The Spine Journal,2016,16:235-242.
27史继德,周赋,王景,等.颈椎前路植入PEEK PREVAIL系统手术方式治疗单节段颈椎病.实用骨科杂志,2015,21(11):961-964,1044.
28张卫红,袁硕,孟纯阳,等.MC+和ROI-CTM颈椎融合器治疗颈椎病:术后早期颈椎稳定性及融合率比较.中国组织工程研究,2014,18(31):4973-4979.
2吴佳润,赵斌霞.颈椎病易发群体发病率与主要发病原因的研究.当代体育科技,2015,5(23):26-27.
3Hisev M S,Bae H W,Davis R,et al.Multi-center,prospective,randomized,controlled investigational device exemption clinical trial comparing Mobi-C Cervical Artificial Disc to anterior discectomy and fusion in the treatment of symptomatic degenerative disc disease in the cervical spine.International journal of spine surgery,2014,8:7.
4Skovrlj B,Lee D H,Caridi J M,et al.Reoperations following cervical disc replacement.Asian Spine J,2015,9(3):471-482.
5Quinn J C,Kiely P D,Lebl D R,et al.Anterior surgical treatment of cervical spondylotic myelopathy.HSS J,2015,11(1):15-25.
6Lane P D,Cox J L,Gaskins R B,et al.Early radiographic and clinical outcomes study evaluating an integrated screw and interbody spacer for One-and Two-Level ACDF.International journal of spine surgery,2015,9:39.
7Wang Zhiwen,Jiang Weimin,Li Xuefeng,et al.The application of zero-profile anchored spacer in anterior cervical discectomy and fusion.Eur Spine J,2015,24(1):148-154.
8Yang Haisong,Chen Deyu,Wang Xinwei,et al.Zero-profile integrated plate and spacer device reduces rate of adjacent-level ossification development and dysphagia compared to ACDF with plating and cage system.Arch Orthop Trauma Surg,2015,135(6):781-787.
9Hofstetter C P,Kesavabhotla K,Boockvar J A.Zero-profile Anchored Spacer Reduces Rate of Dysphagia Compared With ACDF With Anterior Plating.J Spinal Disord Tech,2015,28(5):E284-E290.
10黄吉军,杨建东,陶玉平,等.颈椎Zero-P植入与前路减压植骨融合术的对照研究.实用骨科杂志,2014,20(4):289-292.
11Chong E,Pelletier M H,Mobbs R J,et al.The design evolution of interbody cages in anterior cervical discectomy and fusion:a systematic review.BMC Musculoskelet Disord,2015,16:99.
12Rao P J,Pelletier M H,Walsh W R,et al.Spine interbody implants:material selection and modification,functionalization and bioactivation of surfaces to improve osseointegration.Orthop Surg,2014,6(2):81-89.
13刘延群,张俊忠.不同材料椎间融合器的生物力学性能评估.中国医学创新,2010,7(36):186-188.
14王成健,孟增东,张玉勤,等.镍钛形状记忆合金的生物相容性研究进展.生物骨科材料与临床研究,2016,13(1):65-68.
15王华强,滕勇.腰椎椎间融合材料研究进展[J].国际骨科学杂志,2016,37(1):14-17.
16Yoo M,Kim W H,Hyun S J,et al.Comparison between two different cervical interbody fusion cages in one level stand-alone ACDF:carbon fiber composite frame cage versus polyetheretherketone cage.Korean Journal of Spine,2014,11(3):127-135.
17 Hak D J,Mauffrey C,Seligson D,et al.Use of carbon-fiberreinforced composite implants in orthopedic surgery.Orthopedics,2014,37(12):825-830.
18李嵩,祁敏,曹鹏,等.可吸收脊柱椎间融合器的研究与应用进展.脊柱外科杂志,2014,12(2):103-106.
19Li Xiaohui,Song Yueming,Duan Hong.Reconstruction of segmental stability of goat cervical spine with poly(D,1-lactic acid)cage.Orthop Surg,2015,7(3):266-272.
20Smith A J,Arginteanu M,Moore F,et al.Increased incidence of cage migration and nonunion in instrumented transforaminal lumbar interbody fusion with bioabsorbable cages.J Neurosurg Spine,2010,13(3):388-393.
21陶敬桥,张海钟.不同固定材料治疗下领骨髁状突骨折疗效比较.现代中西医结合杂志,2013,22(34):3797-3798.
22王运锋,何蕾,郭薇.医用钛合金的研究及应用现状.钛工业进展,2015,32(1):1-6.
23Reigstad O,Johansson C,Stenport V,et al.Different patterns or bone fixation with hydroxyapatite and resorbable CaP coatings in the rabbit tibia at 6,12,and 52 weeks.J Biomed Mater Res B Appl Biomater,2011,99(1):14-20.
24Chen Yu,Wang Xinwei,Lu Xuhua,et al.Comparison of Titanium and polyetheretherketone(PEEK)cages in the surgical treatment of multilevel cervical spondylotic myelopathy:a prospective,randomized,control study with over 7-year follow-up.Eur Spine J,2013,22(7):1539-1546.
25Stein M I,Nayak A N,Gaskins R B,et al.Biomechanics of an integrated interbody device versus ACDF anterior locking plate in a single-level cervical spine fusion construct.Spine J,2014,14(1):128-136.
26Kienle A,Graf N,Wilk H J.Does impaction of titanium-coated interbody fusion cages into the disc space cause wear debris or delamination.The Spine Journal,2016,16:235-242.
27史继德,周赋,王景,等.颈椎前路植入PEEK PREVAIL系统手术方式治疗单节段颈椎病.实用骨科杂志,2015,21(11):961-964,1044.
28张卫红,袁硕,孟纯阳,等.MC+和ROI-CTM颈椎融合器治疗颈椎病:术后早期颈椎稳定性及融合率比较.中国组织工程研究,2014,18(31):4973-4979.