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在有和没有模拟转移瘤的三段式脊柱单元尸体测试中诱导靶向性破坏。

Inducing targeted failure in cadaveric testing of 3-segment spinal units with and without simulated metastases.

作者信息

Groenen Karlijn H J, Janssen Dennis, van der Linden Yvette M, Kooloos Jan G M, Homminga Jasper, Verdonschot Nico, Tanck Esther

机构信息

Radboud university medical center, Radboud Institute for Health Sciences, Orthopaedic Research Laboratory, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.

Radboud university medical center, Radboud Institute for Health Sciences, Orthopaedic Research Laboratory, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.

出版信息

Med Eng Phys. 2018 Jan;51:104-110. doi: 10.1016/j.medengphy.2017.11.007. Epub 2017 Dec 8.

Abstract

We propose an experimental setup and protocol able to induce targeted failure of the middle vertebra in 3-segment spinal units and to capture the specimens' deformation in their post-failure state. Sixteen 3-segment spinal units with and without artificial metastases were destructively tested in axial compression using one of two failure criteria; either: (A) A clear drop in force (>10-15% of peak force) (n = 4); or (B) A minimum displacement of 5 mm (n = 12). Subsequently, the specimens were fully fixated in polymethylmethacrylate (PMMA), thereby preserving their post-failure state. Pre- and post-experiment computed tomography (CT) scans were acquired to determine the occurrence of failure in one of the vertebral bodies. All specimens were successfully fixated in their post-failure state. When applying failure criterion A, two specimens showed signs of failure. When applying failure criterion B, all specimens showed signs of failure; in 9 out of 12 specimens this occurred in the middle vertebrae only. In conclusion, this research provides an experimental setup and protocol able to induce targeted failure of 3-segment spinal units and to capture the specimens' deformation in their post-failure state. Furthermore, this study illustrates the importance of an adequate failure criterion for successful simulation of vertebral fractures in an experimental setup.

摘要

我们提出了一种实验装置和方案,能够在三段式脊柱单元中诱导中间椎体发生靶向性破坏,并捕捉标本在破坏后状态下的变形情况。使用两种破坏标准之一,对16个带有和不带有人工转移瘤的三段式脊柱单元进行轴向压缩破坏试验;标准如下:(A) 力明显下降(>峰值力的10 - 15%)(n = 4);或 (B) 最小位移为5毫米(n = 12)。随后,将标本完全固定在聚甲基丙烯酸甲酯(PMMA)中,从而保留其破坏后的状态。在实验前后进行计算机断层扫描(CT),以确定其中一个椎体是否发生破坏。所有标本均成功固定在其破坏后的状态。应用破坏标准A时,有两个标本出现破坏迹象。应用破坏标准B时,所有标本均出现破坏迹象;在12个标本中有9个仅在中间椎体发生破坏。总之,本研究提供了一种实验装置和方案,能够诱导三段式脊柱单元发生靶向性破坏,并捕捉标本在破坏后状态下的变形情况。此外,本研究还说明了在实验装置中,合适的破坏标准对于成功模拟椎体骨折的重要性。

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