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骨质疏松性脊柱骨折的生物力学研究:光学方法。

Biomechanical Study of the Osteoporotic Spine Fracture: Optical Approach.

作者信息

Sopon Mircea, Oleksik Valentin, Roman Mihai, Cofaru Nicolae, Oleksik Mihaela, Mohor Cosmin, Boicean Adrian, Fleaca Radu

机构信息

Orthopaedic-Traumatology Surgery Department, Sibiu Emergency Clinical Hospital, 550024 Sibiu, Romania.

Department of Industrial Machinery and Equipments, Lucian Blaga University of Sibiu, 550024 Sibiu, Romania.

出版信息

J Pers Med. 2021 Sep 11;11(9):907. doi: 10.3390/jpm11090907.

Abstract

BACKGROUND AND OBJECTIVES

Osteoporotic spine fractures represent a significant factor for decreasing quality of life in the elderly female population. Understanding the mechanisms involved in producing these fractures can improve their prevention and treatment. This study presents a biomechanical method to produce a vertebral fracture, conducted on a human spine segment, observing the displacements and strains in the intervertebral disc, endplate, and vertebral body.

MATERIALS AND METHODS

We performed two tests, one corresponding to an extension loading, and the second to an axial loading.

RESULTS

The maximum displacement in the target vertebral body presented higher values in the case of the extension as compared to the axial strain where it mainly occurred after the fracture was produced. The strains occurred simultaneously on both discs. In the case of the axial strain, due to the occurrence of the fracture, the maximum value was recorded in the spine body, while in the case of the extensions, it occurred in the neural part of the upper disc. The advantage of this method was that the entire study was an experiment, using optical methods, increasing the precision of the material data input.

CONCLUSIONS

The research method allowed recording in real time of a larger amount of data from the different components of the spine segment. If there was an extension component of the compression force at the moment of the initial loading, part of this load was absorbed by the posterior column with higher mechanical resistance. After the maximum capacity of the absorption was reached, in both situations the behavior was similar.

摘要

背景与目的

骨质疏松性脊柱骨折是老年女性人群生活质量下降的一个重要因素。了解这些骨折产生的机制有助于改进其预防和治疗。本研究提出了一种在人体脊柱节段上制造椎体骨折的生物力学方法,观察椎间盘、终板和椎体中的位移和应变。

材料与方法

我们进行了两项测试,一项对应伸展加载,另一项对应轴向加载。

结果

与轴向加载相比,目标椎体在伸展加载情况下的最大位移值更高,轴向加载时最大位移主要发生在骨折产生之后。两个椎间盘上的应变同时出现。在轴向加载情况下,由于骨折的发生,最大值记录在椎体中,而在伸展加载情况下,最大值出现在上椎间盘的神经部分。该方法的优点是整个研究是一个使用光学方法的实验,提高了材料数据输入的精度。

结论

该研究方法能够实时记录来自脊柱节段不同部件的大量数据。如果在初始加载时有压缩力的伸展分量,该部分载荷会被机械阻力较高的后柱吸收。在达到最大吸收能力后,两种情况下的行为相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73b0/8469636/e168157bd823/jpm-11-00907-g001.jpg

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