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Patient-specific finite element model of the spine and spinal cord to assess the neurological impact of scoliosis correction: preliminary application on two cases with and without intraoperative neurological complications.

作者信息

Henao Juan, Aubin Carl-Éric, Labelle Hubert, Arnoux Pierre-Jean

机构信息

a Institute of Biomedical Engineering, Polytechnique Montreal , Montreal , Canada.

b Research Center, Sainte-Justine University Hospital Center , Montreal , Canada.

出版信息

Comput Methods Biomech Biomed Engin. 2016;19(8):901-10. doi: 10.1080/10255842.2015.1075010. Epub 2015 Sep 1.


DOI:10.1080/10255842.2015.1075010
PMID:26324393
Abstract

Scoliosis is a 3D deformation of the spine and rib cage. For severe cases, surgery with spine instrumentation is required to restore a balanced spine curvature. This surgical procedure may represent a neurological risk for the patient, especially during corrective maneuvers. This study aimed to computationally simulate the surgical instrumentation maneuvers on a patient-specific biomechanical model of the spine and spinal cord to assess and predict potential damage to the spinal cord and spinal nerves. A detailed finite element model (FEM) of the spine and spinal cord of a healthy subject was used as reference geometry. The FEM was personalized to the geometry of the patient using a 3D biplanar radiographic reconstruction technique and 3D dual kriging. Step by step surgical instrumentation maneuvers were simulated in order to assess the neurological risk associated to each maneuver. The surgical simulation methodology implemented was divided into two parts. First, a global multi-body simulation was used to extract the 3D displacement of six vertebral landmarks, which were then introduced as boundary conditions into the personalized FEM in order to reproduce the surgical procedure. The results of the FEM simulation for two cases were compared to published values on spinal cord neurological functional threshold. The efficiency of the reported method was checked considering one patient with neurological complications detected during surgery and one control patient. This comparison study showed that the patient-specific hybrid model reproduced successfully the biomechanics of neurological injury during scoliosis correction maneuvers.

摘要

相似文献

[1]
Patient-specific finite element model of the spine and spinal cord to assess the neurological impact of scoliosis correction: preliminary application on two cases with and without intraoperative neurological complications.

Comput Methods Biomech Biomed Engin. 2016

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
[Biomechanical modeling of instrumentation for the scoliotic spine using flexible elements: a feasibility study].

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[8]
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[9]
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[10]
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引用本文的文献

[1]
Biomechanical analysis of spinal cord injury during scoliosis correction surgery.

Front Bioeng Biotechnol. 2024-7-2

[2]
Finite Element Analysis for Degenerative Cervical Myelopathy: Scoping Review of the Current Findings and Design Approaches, Including Recommendations on the Choice of Material Properties.

JMIR Biomed Eng. 2024-3-28

[3]
Validation of a patient-specific finite element analysis framework for identification of growing rod-failure regions in early onset scoliosis patients.

Spine Deform. 2024-7

[4]
Finite element modeling of the human cervical spinal cord and its applications: A systematic review.

N Am Spine Soc J. 2023-7-27

[5]
Recent Advances in Coupled MBS and FEM Models of the Spine-A Review.

Bioengineering (Basel). 2023-3-1

[6]
A Hyper-Viscoelastic Continuum-Level Finite Element Model of the Spinal Cord Assessed for Transverse Indentation and Impact Loading.

Front Bioeng Biotechnol. 2021-8-12

[7]
The construction of the scoliosis 3D finite element model and the biomechanical analysis of PVCR orthopaedy.

Saudi J Biol Sci. 2020-2

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