Application of silicon pressure sensor to nerve root retractor

LIU Xing; HUANG Qing-an; QIN Ming; CHEN Hui

doi:10.3788/OPE.20111911.2709

您当前的位置：

首页 >

文章列表页 >

Application of silicon pressure sensor to nerve root retractor

Article | 更新时间：2020-08-12

- Application of silicon pressure sensor to nerve root retractor
- Optics and Precision Engineering Vol. 19, Issue 11, Pages: 2709-2714(2011)
- 作者机构：
  
  1. 东南大学 MEMS教育部重点实验室,江苏南京 210096
  2. 东南大学医学院,江苏南京 210009
- 作者简介：
- 基金信息：
- DOI：10.3788/OPE.20111911.2709
  CLC： R681.5;TP212.3
- Received：27 September 2010，
  
  Revised：11 April 2011，
  
  Published Online：25 November 2011，
  
  Published：25 November 2011
- 稿件说明：
移动端阅览
刘星, 黄庆安, 秦明, 陈辉. 硅压力传感器在神经拉勾中的应用[J]. 光学精密工程, 2011,19(11): 2709-2714

LIU Xing, HUANG Qing-an, QIN Ming, CHEN Hui. Application of silicon pressure sensor to nerve root retractor[J]. Editorial Office of Optics and Precision Engineering, 2011,19(11): 2709-2714
刘星, 黄庆安, 秦明, 陈辉. 硅压力传感器在神经拉勾中的应用[J]. 光学精密工程, 2011,19(11): 2709-2714 DOI： 10.3788/OPE.20111911.2709.

LIU Xing, HUANG Qing-an, QIN Ming, CHEN Hui. Application of silicon pressure sensor to nerve root retractor[J]. Editorial Office of Optics and Precision Engineering, 2011,19(11): 2709-2714 DOI： 10.3788/OPE.20111911.2709.

摘要

为了避免或减少脊柱外科手术中过度牵拉神经根造成的医源性神经功能损伤

将硅压阻式压力传感器应用于手术器械神经拉勾上来量化术中对神经根的牵拉程度

以提高脊柱疾病的手术治疗成功率。在神经拉钩接触神经根的部位安装压力传感器

测量神经根被牵拉时所受压力。利用白兔和山羊进行不同程度和时间的神经根牵拉实验

并同时用肌电图监测不同牵拉情况下神经根电生理反应的变化。牵拉平均压力变化约14 kPa时

潜伏期变化率为1.12%

波幅变化率为21.21%

表明被牵拉神经根的轴索部位有损伤;牵拉平均压力基本相同时

牵拉持续时间越长

神经根功能受损程度越大。牵拉的时间和加载在神经根上的压力与神经功能损伤程度正相关

表明通过实验建立了神经根所受压力与相应电生理反应的联系

有助于在今后的研究中进一步明确神经根牵拉的安全阈值。

Abstract

For reducing or avoiding the iatrogenic nerve function injury due to the excessive retraction for a nerve root during a spine surgery

a silicon piezoresistive pressure sensor was employed in the nerve root retractor to quantitate the retraction for the nerve root and to improve the performance of spine surgery. To measure the pressure exerted upon the retracted nerve root

a pressure sensor was adhered to the nerve engagement surface of a nerve retractor. The rabbit and goat experiments were performed on nerve root retraction by different time durations and pressure extendings

while the nerve function injury was assessed by monitoring the electromyogram responses. Experiments show when the increase of average pressure is about 14 kPa

the change rates of latency and amplitude are 1.12% and 21.21%

respectively

which reveals that the retracted nerve root axonal is damaged. Furthermore

loading similar average pressare

the more the retraction time applies to the nerve root

the worse the nerve function is hurt. In conclusion

the relationship between the pressure exerted on the nerve root and the corresponding neuromuscular responses has been founded via the results of animal experiments

which shows the degree of nerve root impairment is positively correlated with the duration and extent of nerve root retraction

and can be used in the study of retraction threshold values.

关键词

Keywords

references

TAYLOR R, RYAN J, O'DONNELL R, et al.. The cost-effectiveness of spinal cord stimulation in the treatment of failed back surgery syndrome [J]. Clinical Journal of Pain, 2010, 26(6): 463-469.[2] BOSNJAK R, MAKOVEC M. Neurophysiological monitoring of S1 root function during microsurgical posterior discectomy using H-Reflex and spinal nerve root potentials [J]. Spine, 2010, 35(4): 423-429.[3] KELLEHER M, TIMLIN M, PERSAUD O, et al.. Success and failure of minimally invasive decompression for focal lumbar spinal stenosis in patients with and without deformity [J]. Spine, 2010, 35(19): E981-E987.[4] PAPAVERO L, THIEL M, FRITZSCHE E, et al.. Lumbar spinal stenosis: prognostic factors for bilateral microsurgical decompression using a unilateral approach [J]. Neurosurgery, 2009, 65(6):182-187.[5] PARK P, LEVEQUE J, MARCA F L, et al.. Dural closure using the u-clip in minimally invasive spinal tumor resection [J]. Journal of Spinal Disorders & Techniques, 2010, 23(7): 486-489.[6] WOOD K, DEVINE J, FISCHER D, et al.. Vascular injury in elective anterior lumbosacral surgery [J]. Spine, 2010, 35(9S): S66-S75.[7] GHARIB J, FARQUHAR A, MARTINELLI S, et al.. System and methods for performing neurophysiologic assessments with pressure monitoring: US,2007/0021682 A1 . 2007.[8] 崔志明,保国锋,张金波,等. 测力神经根拉钩的实验应用[J]. 中国组织工程研究与临床康复,2008,30(12): 5857-5860. CUI ZH M, BAO G F, ZHANG J B, et al.. Experimental application of auxometric nerve root retractor [J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2008,30(12): 5857-5860. (in Chinese)[9] BRAU S A, SPOONAMORE M J, SNYDER L, et al.. Nerve monitoring changes related to iliac artery compressionduring anterior lumbar spine surgery [J].The Spine Journal, 2003, 3(5): 351-355.[10] 马建旭,王立鼎,吴一辉. 微电子机械系统在生物医学领域中的应用[J]. 光学精密工程,1996,4(1): 1-6. MA J X, WANG L D, WU Y H. Application of micro electro mechanical system on medicine and biology [J]. Opt. Precision Eng., 1996, 4(1): 1-6. (in Chinese)[11] 舒晶,颜德田,颜国正. 生物反馈式括约肌的研制[J]. 光学精密工程,2004,12(1): 43-46. SHU J, YAN D T, YAN G ZH. Development of constrictor with bio-feedback function [J]. Optical and Precision Engineering, 2004, 12(1): 43-46. (in Chinese)[12] MATSUI H, KITAGAWA H, KAWAGUCHI Y, et al.. Physiologic changes of nerve root during posterior lumbar discectomy [J]. Spine, 1995, 20(6):654-659.

Views

417

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Low stress laser welding technology for corrugated diaphragm of pressure sensor

Design of magnetostrictive pressure sensor and its output characteristics

Electrospinning of aligned PVDF nanofibers with piezoelectricity and its application in pressure sensors

Numerical simulation of vaporization effect of long pulsed laser interaction with silicon

High temperature pressure sensor for harsh environment

Related Author

XU Jiahao

ZHU Minjie

LIU Shuai

CHEN Fanhong

DU Xiaohui

Bo-wen WANG

Qi-long WANG

Jian-hui HAN

Related Institution

Instrumentation Technology and Economy Institute

Nanchang University of Aeronautics

Province-Ministry Joint Key Laboratory of Electromagnetic Field and Electrical Apparatus Reliability, Hebei University of Technology

State Key Laboratory of Intelligent Technology and Systems, Department of Computer Science and Technology, Tsinghua University.

Department of Mechanical Engineering, Xiamen University

AI问答

Address：No.3888 Dong Nanhu Road, Changchun, Jilin, China Postal code：130033
Tel：0431-86176855 Email：gxjmgc@ciomp.ac.cn
Technical support is provided by Beijing Founder electronics co., LTD 吉ICP备11002662号-17 京公网安备11010802024621
It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.

⁰