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논문 기본 정보

자료유형
학술저널
저자정보
Akira Hashiguchi (Shimonoseki City Toyoura Hospital) Tsukasa Kanchiku (Yamaguchi University Graduate School of Medicine) Norihiro Nishida (Yamaguchi University Graduate School of Medicine) Toshihiko Taguchi (Yamaguchi University Graduate School of Medicine)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.12 No.3
발행연도
2018.1
수록면
391 - 397 (7page)

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Study Design: Biomechanical study. Purpose: We examined the dynamic characteristics of different operative procedures using three-dimensional finite-element models. Overview of Literature: Cervical laminoplasty is often selected for patients requiring multilevel spinal decompression. Many laminoplasty techniques have been developed and are continually being improved. Methods: Images were extracted for the two intervertebral joints between C3 and C5 in domestic rabbits. The following models were created: preoperative, laminectomy, Z-plasty, open door laminoplasty, French open door laminoplasty, en-bloc laminoplasty, and double-door laminoplasty. The loads required for sagittal rotation of 2.5°, 5°, and 7.5° were measured in vitro and respectively placed at the bottom of the C5 model. Displacement of the plate in the X, Y, and Z coordinates was measured and the rotational angles of the plate were determined. Results: The sagittal rotation angle was greater in the laminectomy model than in the preoperative model, but was almost the same in the preoperative and Z-plasty models. Compared with the preoperative model, sagittal rotation angles were smaller in the French open door, open door, en-bloc , and double-door laminoplasty models. Conclusions: Laminectomy and various types of laminoplasty are associated with different mechanical features, such as stability and mobility, allowing for selection of the most appropriate surgical procedure for each case.

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