Use of Electrical Bone Stimulation in Spinal Fusion

1
?????? ?????? ??? ????? ?????? ?????????? ???
?????

• Use of Electrical Bone Stimulation in Spinal
  Fusion
• Scott D. Hodges, DO, Jason C. Eck, DO, MS and S.
  Craig Humphreys, MD
• Journal of the American Academy of Orthopedic
  Surgeons, Vol 11, No 2, March/April 2003

2
Pseudoarthrosis

• ????? ?? ???? ????? ???? ?????????? ??? ???
  ???????? ?? ??????? ??? ??? ??? ?????
• http//www.wordreference.com/English/definition.as
  p?enpseudoarthrosis

?????? ?????????????? ???? ????? ???????? ?? 35
3
??????? ?????? ?????? ??????

• ??? ???? Direct Current
• ???? ????????????? ?????? Pulsating
  Electromagnetic Fields (PEMFs)
• ??????? ??????? ?????? ?????? Capacitively
  Coupled Electrical Stimulation

4
????? ???????????
???
5
?????? ????? ??????? ???????
????? ?????
????? ????
PGE2
6
Direct Current Stimulation

• ????? ????????? - ?????? ??????
• ??? ???? ?? ?????? ??? ?????????
• ????? ???????? 5-8 ?"? ??????????
• ????? ?????? ???? ???? ????? ?-6-9 ??????
• ???? ?????? 5-20µA

7
Direct Current Stimulation Clinical Studies

• ???? (1988) 59 ????? ?????? ???? ????? ?????
  ????? ????? ?????? ???????? (81 ????? 54)
  (P0.026)
• ?????????? ??????????? (1996) 94 ?????
  Lumbosacral Fusion????? ????? ???????? ???????
  ????????????96 ????? 85 (P0.02)

8
Pulsating Electromagnetic Fields

• ?????? ?? ??????
• ??? ???????????
• 8-10 ???? ????, 6-8 ??????
• ?????? ?????? ??????

9
Pulsating Electromagnetic Fields Clinical Study

• Mooney et al. (1990) 195 ??????, Lumbar
  Interbody Fusion.????? ??? ??????????
  ??????????92 ????? 65 (Plt0.005)

10
Capacitively Coupled Electrical Stimulation

• ????????? ??????
• ????? ???????????
• ????????? ??????'? ??????
• 24 ???? ?????
• ?????? ?????? ??????

11
Capacitively Coupled Electrical Stimulation
Clinical Study

• Goodwin et al. (1999) 179 ?????, ?????
  ??????????? ??? ?????????? ?????????? ????????
  ???????85 ????? 65 (Plt0.005)
• ?? ?? ?????????? ????? ????? ????.

12
????

• ???? ?????????? ??????? ??????.
• ????? ??????? ????? ?? ??? ???? ????? ???.
• ?????????? ?????? ????????.
• ????? ?????? ???? ???? ?? ??? ?????? ??????.
• ????? ?????? ??????.

13
??????

• ??????? ?? ???? ??????,
• ?? ??????? ????? ??????

14
???? ???!