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1、脊柱失稳的因素及其对策Thefactorsoftheinstabilityofthespineandthestrategiesofdongfuhui(theChineseacademyoftraditionalChinesemedicine,Beijing100700);Jointinstability;ThetreatmentofSpinedisordersanditsmeansofmanagementDONGFuhui.InstituteofOrthopaedicsandTraumatology,ChinaAc
2、ademyofChineseMedicalSciences,Beijing100700,ChinaKeywordsSpine;Tobeinstability;TheChineseboneinjurywasthefirstofitskindinAugust2008.ItwasthefirstofitskindinAugust2008Thestabilityofthespineisasubjectofgreatconcern,whichleadstotheproliferationofdoctrines,treatme
3、ntsandtechniques・Especiallyinrecentyearsasthespineofminimallyinvasivesurgicaltechniques,high-techinthefieldofbiomedicalmaterials,seepage,thestabilityofthespinesurgerymethodsfrequentlyreported,wewelcomedaacademicprosperity,technologydiversity,flowersofthenewera
4、ofspinalsurgery.However,inthefaceofthesehottechnologyalsosomeproblemsweneedtothinkcalmly:built-inappliancesandexternalsupportwillprovidemuchofthespinestability?Doyounoticethecorrespondingfunctionalsubstitutionandstressocclusionwhileconsideringthestabilityofthe
5、spine?Howtoovercomematerialfatigueandstructuralfailure?Didoureffortsmeetthetarget?Inordertodiscusstheseproblems,itisnecessarytoreviewthestabilityandinstabilityofthespine.StabilityofthespineThestaticstabilityofthespineThespineismaintainedbyvertebrae,articularpr
6、ocesses,disc,1igaments,andjointsacs・Theelasticmodulusofthesetissuesishigherthanthatofthemuscles,andislessdeformedwhenexposedtoexternalforces,soitisalsocalledthestaticallystablesystemofthespine・Inrecentyears,thesimulationoftheorganizationofalotofartificialmater
7、ials,somehavealargenumberofmarket,someareintheprocessofresearchanddevelopment,thecoretechnologyistosolvethebiocompatibilityofthematerialandstressadaptability・ThedynamicstabilityofthespineMusclesareboththefactorsthatmaintainthestabilityofthespineandtheprimarymo
8、tivationofthespinalmovement.Thedynamicstabilizationsystemofthespineisalsocalledadynamicstabilizationsystemofthespine,whichisusedtomaintainthespinepositioninastaticway,whiletheforce