C 5/6 椎间隙不同撑开高度对临近椎间盘压力的研究分析

doi:10.13418/j.issn.1001-165x.2015.06.017

Abstract

Abstract:

Objective　To study the impact of C5/6 intervertebral distraction height of adjacent disc pressure, so as to select the appropriate height of intervertebral distraction and provide the basis for clinical work.　Methods　Six fresh adult corpses were selected and the cervical spines were prepared and mounted to BOSE dynamic/static load testing machine. Neutral position, flexion and extension, lateral bending, multi-dimensional movement of rotation, were tested under different loads. neck movement of C5/6 before intervertebral distraction, C5/6 intervertebral distraction reference height of 100%, 120%, 140%, 160% and C4/5、C6/7 disc pressure changes. The measured pressure values were subjected for multiple comparative statistical analysis.　Results　Installation of all distraction position was satisfactory. Statistical analysis showed that: the average height of C5/6 in the six specimens was 6.8 mm; under the condition of different intervertebral distraction, the disc pressure was minimal with 30° cervical extension(P<0.05); under the condition of 120% of the reference height, C4/5 and C6/7 disc pressure values were larger when cervical spine was extended for 30°, laterally bended for 30°than the pressure values measured when the cervical spine was at any other reference height (P<0.05); when the cervical spine was in neutral position measured pressure values of C6/7 and C4/5 disc pressure was less than those of 100%, 140%, 160% reference height；When the cervical spine was in both the left and right lateral bending, the C4/5, C6/7 disc pressure value at 120% of the average height was less than 140% of the average height (P<0.05); while the former was not greater than the intervertebral disc distraction measured pressure value compared with the other three were between two highly significant difference (P<0.05); left rotation: each state was no significant difference (P>0.05); ligament of facet joint capsule was slightly teared in 1 specimens,when specimens at 160% of the benchmark distraction and the height of the line 30° flexion position. Conclusion C5/6 cervical interbody disc when the removal of the line, select the reference level of 120% of intervertebral distraction as the height of the adjacent intervertebral disc pressure changes less affected intervertebral distraction for proper height.

Key words: Cervical, Disc pressure, Distraction height, Adjacent segment

References

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Different C5/6 intervertebral distracting height on the adjacent intervertebral disc pressure analysis

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