Department of Biomedical Engineering, University Medical Center Groningen, University of Groningen, A. Deusinglaan 1, 9713AV, Groningen, The Netherlands.
Ann Biomed Eng. 2010 Jan;38(1):33-40. doi: 10.1007/s10439-009-9827-6. Epub 2009 Oct 30.
Replacement of a degenerated vertebral disc with an artificial intervertebral disc (AID) is currently possible, but poses problems, mainly in the force distribution through the vertebral column. Data on the intervertebral disc space geometry will provide a better fit of the prosthesis to the vertebrae, but current literature on vertebral disc geometry is very scarce or not suitable. In this study, existing CT-scans of 77 patients were analyzed to measure the intervertebral disc and vertebral endplate geometry of the lumbar spine. Ten adjacent points on both sides of the vertebrae (S1-superior to T12-inferior) and sagittal and transverse diameters were measured to describe the shape of the caudal and cranial vertebral planes of the vertebrae. It was found that the largest endplate depth is located in the middle or posterior regions of the vertebra, that there is a linear relationship between all inferior endplate depths and the endplate location (p < 0.0001) within the spinal column, and that the superior endplate depth increases with age by about 0.01 mm per year (p < 0.02). The wedge angle increases from T12-L1 to L5-S1. The results allow for improvement of the fit of intervertebral disc-prostheses to the vertebrae and optimized force transmission through the vertebral column.
用人工椎间盘(AID)替代退变的椎间盘目前是可行的,但存在问题,主要是在脊柱的力分布方面。椎间盘空间几何结构的数据将有助于假体更好地与椎体匹配,但目前关于椎间盘几何结构的文献非常有限或不适用。在这项研究中,分析了 77 名患者的现有 CT 扫描,以测量腰椎的椎间盘和椎体终板的几何结构。在椎体的两侧(S1-上至 T12-下)测量了 10 个相邻点以及矢状径和横径,以描述椎体的颅侧和尾侧椎体平面的形状。结果发现,最大的终板深度位于椎体的中间或后部区域,在脊柱内所有下终板深度与终板位置之间存在线性关系(p<0.0001),上终板深度每年增加约 0.01mm(p<0.02)。楔角从 T12-L1 增加到 L5-S1。研究结果有助于改善椎间盘假体与椎体的匹配度,优化脊柱的力传递。