Application of nano-hydroapaic crystals and polyamide composite for artificial vertebrae to treating thoracic or lumbar vertebrae tumor
WANG Qun-bo~1,JIANG Dian-ming~2,LI Zhi~1,ZHANG Dong~1,YU Ming~1,WANG Xiao-ling~1,OU Shuang-quan~1,WANG Yu-chuan~1,HUANG Yan-xing~1(~1Department of Orthopaedics,Dazhou Central Hospital,Dazhou 635000,~2Department of Orthopedics,The First Affiliated Hospital,Chongqing University of Medical Sciences,Chongqing 400016,China)
Objective To discuss the application of nano-hydroapatic crystals and polyamide composite(n-HA/PA66) for artificial vertebrae in treating thoracic or lumbar vertebrae tumor.Methods A total of 14 cases suffering from thoracic or lumbar vertebrae tumor underwent deuto-total vertebrae resection via anterior approach,then canalis vertebralis was deboosted,artificial vertebrae was implanted and fixed with screw-stick system.Fourteen patients,9 male and 5 female were admitted by our hospital from Dec 2003 to Sep 2005,aged 32 to 68 years old(average 50).The tumor located at T_(11) in 2 cases,T_(12) in 2,L_1 in 5,L_2 in 5.Pathological diagnosis showed 3 cases were of aneurysmal bone cyst,5 of hemangioma,2 of giant cell tumor,3 of metastatic thoracic lumbar vertebra tumor. Results The follow-up lasted 3-18 months,mean 10 months.The rate of bone graft fusion reached 85.7%,with no loosened internal fixation or breakage of screw or stick.No screw breakage or spinal instability occurred during the follow-up.All cases were alive till follow-up finished.Conclusion If the thoracic vertebral tumor compresses spinal cord seriously,the patients should be recommended for surgical treatment.Total vertebrectomy followed by reconstruction could relieve the compression caused by tumor and restore the stabilization of spine effectively.Artificial vertebrae is the ideal substitute material for bone transplantation,for it has good biocompatibility,high security,high rate of bone graft fusion and firm fixation.
【CateGory Index】： R738.1