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选择合适的椎弓根螺钉治疗人类腰椎退变皮质骨和松质骨:有限元研究。

Selection of suitable pedicle screw for degenerated cortical and cancellous bone of human lumbar spine: A finite element study.

机构信息

School of Mechanical Engineering, VIT Bhopal University, Madhya Pradesh, India.

Department of Industrial Design, National Institute of Technology Rourkela, Odisha, India.

出版信息

Int J Artif Organs. 2021 May;44(5):361-366. doi: 10.1177/0391398820964483. Epub 2020 Oct 13.


DOI:10.1177/0391398820964483
PMID:33045876
Abstract

Pedicular arthrodesis is the traditional procedure in terms of increase in the biomechanical stability with higher fixation rate. The current work aims to identify the effect of three spinal pedicle screws considering cortical and cancellous degeneracy condition. Lumbar section L2-L3 is utilized and various load and moment conditions were applied to depict the various biomechanical parameters for selection of suitable screw. Three dimensional model is considered in finite element analysis to identify the various responses of pedicle screw at bone screw juncture. Computed tomography (CT) images of a healthy male were considered to generate the finite element vertebral model. Generated intact model was further utilized to develop the other implanted models of degenerated cortical and cancellous bone models. The three fused instrumented models with different cortical and cancellous degeneracy conditions were analyzed in finite element analysis. The results were obtained as stress pattern at bone screw boundary and intervertebral disc stress. FE simulated results represents significant changes in the von Mises stress due to various load and moment conditions on degenerated bones during different body movement conditions. Results have shown that among all pedicle screws, the 6.0 mm diameter screw reflects very less stress values at the juncture. Multiple results on biomechanical aspects obtained during the FE study can be considered to design a new stabilization device and may be helpful to plan surgery of critical sections.

摘要

经皮关节固定术是一种增加生物力学稳定性和提高固定率的传统方法。本研究旨在探讨在皮质骨和松质骨退变的情况下,三种脊柱椎弓根螺钉的效果。利用 L2-L3 腰椎段,施加各种载荷和力矩条件,以描述选择合适螺钉的各种生物力学参数。在有限元分析中采用三维模型,以确定骨螺钉连接处椎弓根螺钉的各种反应。利用健康男性的计算机断层扫描(CT)图像生成有限元椎体模型。进一步利用完整模型开发皮质骨和松质骨退变的其他植入模型。在有限元分析中分析了三种不同皮质骨和松质骨退变程度的融合仪器模型。结果以骨螺钉边界的应力模式和椎间盘的应力表示。FE 模拟结果表明,在不同的身体运动条件下,退变骨骼在各种载荷和力矩条件下的von Mises 应力发生了显著变化。结果表明,在所有椎弓根螺钉中,6.0mm 直径的螺钉在连接处的应力值最小。FE 研究中获得的多个生物力学方面的结果可用于设计新的稳定装置,并有助于规划关键部位的手术。

相似文献

[1]
Selection of suitable pedicle screw for degenerated cortical and cancellous bone of human lumbar spine: A finite element study.

Int J Artif Organs. 2021-5

[2]
The effect of screw tunnels on the biomechanical stability of vertebral body after pedicle screws removal: a finite element analysis.

Int Orthop. 2017-6

[3]
Biomechanical Changes of Adjacent and Fixed Segments Through Cortical Bone Trajectory Screw Fixation versus Traditional Trajectory Screw Fixation in the Lumbar Spine: A Finite Element Analysis.

World Neurosurg. 2021-7

[4]
Effect of screw position on load transfer in lumbar pedicle screws: a non-idealized finite element analysis.

Comput Methods Biomech Biomed Engin. 2017-2

[5]
Traditional and cortical trajectory screws of static and dynamic lumbar fixation- a finite element study.

BMC Musculoskelet Disord. 2020-7-14

[6]
The influence of bilateral pedicle screw fixation on vibration response of the disc degenerated human lumbar spine: A finite element stress analysis.

Technol Health Care. 2019

[7]
Radiographic feasibility study of cortical bone trajectory and traditional pedicle screw dual trajectories.

J Neurosurg Spine. 2016-12

[8]
Influence of cement-augmented pedicle screw instrumentation in an osteoporotic lumbosacral spine over the adjacent segments: a 3D finite element study.

J Orthop Surg Res. 2020-4-7

[9]
Biomechanical evaluation of fixation strength among different sizes of pedicle screws using the cortical bone trajectory: what is the ideal screw size for optimal fixation?

Acta Neurochir (Wien). 2016-3

[10]
Modelling tri-cortical pedicle screw fixation in thoracic vertebrae under osteoporotic condition: A finite element analysis based on computed tomography.

Comput Methods Programs Biomed. 2020-4

引用本文的文献

[1]
Advancements in Nanotechnology for Spinal Surgery: Innovations in Spinal Fixation Devices for Enhanced Biomechanical Performance and Osteointegration.

Nanomaterials (Basel). 2025-7-10

[2]
Screw Osteointegration-Increasing Biomechanical Resistance to Pull-Out Effect.

Materials (Basel). 2023-8-11

[3]
A comparison of the biomechanical properties of three different lumbar internal fixation methods in the treatment of lumbosacral spinal tuberculosis: finite element analysis.

Sci Rep. 2023-7-13

[4]
Biomechanical comparison of anterior axis-atlanto-occipital transarticular fixation and anterior atlantoaxial transarticular fixation after odontoidectomy: A finite element analysis.

Front Bioeng Biotechnol. 2023-3-7

[5]
Stress Distribution of Different Pedicle Screw Insertion Techniques Following Single-Segment TLIF: A Finite Element Analysis Study.

Orthop Surg. 2023-4

[6]
Analysis of the physiological load on lumbar vertebrae in patients with osteoporosis: a finite-element study.

Sci Rep. 2022-6-29

[7]
A novel bone cement injector augments Chinese osteoporotic lumbar pedicle screw channel: a biomechanical investigation.

BMC Musculoskelet Disord. 2022-4-12

[8]
The accuracy and effectiveness of automatic pedicle screw trajectory planning based on computer tomography values: an in vitro osteoporosis model study.

BMC Musculoskelet Disord. 2022-2-21

[9]
Finite Element Method for the Evaluation of the Human Spine: A Literature Overview.

J Funct Biomater. 2021-7-31

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