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-  2018 

经 S2 骶髂螺钉技术在脊柱骨盆稳定性重建中应用的研究进展

DOI: doi:10.7507/1002-1892.201711124

Keywords: 经 S2 骶髂螺钉, 脊柱骨盆稳定性重建, 内固定, 髂骨螺钉

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Abstract:

目的 总结近年来经 S2 骶髂(second sacral alar-iliac,S2AI)螺钉技术用于脊柱骨盆稳定性重建方面的研究进展。 方法 查阅近年国内外关于 S2AI 螺钉技术应用于脊柱骨盆稳定性重建方面的研究报道,对 S2AI 螺钉技术的发展历程、临床应用及其相关的解剖学、影像学及生物力学等方面进行分析总结。 结果 S2AI 螺钉技术作为一种新的临床脊柱骨盆稳定性重建方式,不仅取得令人满意的腰骶间稳定效果,同时也克服了传统髂骨螺钉钉尾端突出皮肤等相关并发症的问题。由于 S2AI 螺钉的钉道更加狭窄,所以增加了徒手植钉操作上的难度。虽然 S2AI 螺钉是穿透 3 层皮质固定,但生物力学试验结果显示,传统髂骨螺钉与 S2AI 螺钉在固定骶髂关节稳定性力学性能上无明显差异。 结论 在脊柱骨盆稳定性重建上,S2AI 螺钉技术可作为一种替代传统髂骨螺钉技术的相对安全可靠的选择

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