文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

不同人工椎间盘对杂交手术效果的比较:有限元分析。

Comparison of the effects of different artificial discs on hybrid surgery: A finite element analysis.

机构信息

School of Mechanical Engineering, Dalian University of Technology, Dalian, China.

出版信息

Proc Inst Mech Eng H. 2024 Jan;238(1):78-89. doi: 10.1177/09544119231215721. Epub 2023 Dec 16.


DOI:10.1177/09544119231215721
PMID:38102922
Abstract

In recent years, artificial cervical discs have been used in intervertebral disc replacement surgery and hybrid surgery (HS). The advantages and disadvantages of different artificial cervical discs in artificial cervical disc replacement surgery have been compared. However, few scholars have studied the biomechanical effects of various artificial disc prostheses on the human cervical spine in HS which include the Anterior Cervical Discectomy and Fusion (ACDF) and Cervical Disc Arthroplasty (CDA). This study compared the biomechanical behavior of Mobi-C and Prestige LP in the operative and adjacent segments during two-level hybrid surgery. A three-dimensional finite element model of C2-C7 was first established and validated. Subsequently, clinical surgery was then simulated to establish a surgical model of anterior cervical fusion at the C4-C5 level. Mobi-C and Prestige-LP artificial disc prostheses were implanted at the C5-C6 level to create two hybrid models. All finite element models were fixed on the lower endplate of the C7 vertebra and subjected to a load of 73.6 N and different directions of 1 Nm torque on the odontoid process of the C2 vertebra to simulate human flexion, extension, lateral bending, and axial rotation. This paper compares the ROM, intervertebral pressure, and facet joint force after hybrid surgery with the intact model. The results show that compared with Prestige LP, Mobi-C can improve ROM of the replacement segment and compensate for the intervertebral pressure of the adjacent segment more effectively, but the facet joint pressure of the replacement segment may be higher.

摘要

近年来,人工颈椎间盘已应用于颈椎间盘置换术和杂交手术(HS)中。比较了不同人工颈椎间盘在颈椎间盘置换术中的优缺点。然而,很少有学者研究各种人工椎间盘假体在包括前路颈椎间盘切除融合术(ACDF)和颈椎间盘置换术(CDA)在内的 HS 中对人体颈椎的生物力学影响。本研究比较了 Mobi-C 和 Prestige LP 在双节段杂交手术中手术节段和相邻节段的生物力学行为。首先建立并验证了 C2-C7 的三维有限元模型。随后,模拟临床手术,在 C4-C5 水平建立前路颈椎融合的手术模型。在 C5-C6 水平植入 Mobi-C 和 Prestige-LP 人工椎间盘假体,构建两种杂交模型。所有有限元模型均固定在 C7 椎体的下终板上,在 C2 椎体的齿突上施加 73.6N 的载荷和 1Nm 的不同方向扭矩,以模拟人体的屈伸、侧屈和轴向旋转。本文比较了杂交手术后与完整模型的 ROM、椎间盘压力和小关节力。结果表明,与 Prestige LP 相比,Mobi-C 可以改善置换节段的 ROM,并更有效地补偿相邻节段的椎间盘压力,但置换节段的小关节压力可能更高。

相似文献

[1]
Comparison of the effects of different artificial discs on hybrid surgery: A finite element analysis.

Proc Inst Mech Eng H. 2024-1

[2]
External and internal responses of cervical disc arthroplasty and anterior cervical discectomy and fusion: A finite element modeling study.

J Mech Behav Biomed Mater. 2020-6

[3]
Biomechanical effects on the intermediate segment of noncontiguous hybrid surgery with cervical disc arthroplasty and anterior cervical discectomy and fusion: a finite element analysis.

Spine J. 2019-2-8

[4]
Biomechanical analysis of single- and double-level cervical disc arthroplasty using finite element modeling.

Proc Inst Mech Eng H. 2023-1

[5]
Biomechanical comparison of noncontiguous cervical disc arthroplasty and noncontiguous cervical discectomy and fusion in the treatment of noncontinuous cervical degenerative disc disease: a finite element analysis.

J Orthop Surg Res. 2020-1-31

[6]
Biomechanical evaluation of adjacent segment degeneration after one- or two-level anterior cervical discectomy and fusion versus cervical disc arthroplasty: A finite element analysis.

Comput Methods Programs Biomed. 2020-6

[7]
Hybrid Strategy of Two-Level Cervical Artificial Disc and Intervertebral Cage: Biomechanical Effects on Tissues and Implants.

Medicine (Baltimore). 2015-11

[8]
Biomechanical Effects on the Prostheses and Vertebrae of Three-Level Hybrid Surgery: A Finite Element Study.

Orthop Surg. 2024-8

[9]
Changes in the centre of rotation and the anterior bone loss of the vertebral body in Mobi-C artificial disc replacement segments after cervical hybrid surgery: a retrospective study.

Eur Spine J. 2024-3

[10]
A new cervical artificial disc prosthesis based on physiological curvature of end plate: a finite element analysis.

Spine J. 2016-11

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索