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Biomechanical evaluation on a new type of vertebral titanium porous mini-plate and mechanical comparison between cervical open-door laminoplasty and laminectomy: a finite element analysis.

作者信息

Lin Zhiwei, Lin Dongxin, Xu Lin, Chen Qiwei, Vashisth Manoj Kumar, Huang Xuecheng, Deng Yuping, Zhang Feihu, Huang Wenhua

机构信息

School of Basic Medical Sciences, Guangdong Medical University, Dongguan, China.

Guangdong Provincial Key Laboratory of Digital Medicine and Biomechanics, National Key Discipline of Human Anatomy, Guangdong Engineering Research Center for Translation of Medical 3D Printing Application, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China.

出版信息

Front Bioeng Biotechnol. 2024 Feb 5;12:1353797. doi: 10.3389/fbioe.2024.1353797. eCollection 2024.


DOI:10.3389/fbioe.2024.1353797
PMID:38375455
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10875091/
Abstract

Compare the spine's stability after laminectomy (LN) and laminoplasty (LP) for two posterior surgeries. Simultaneously, design a new vertebral titanium porous mini plate (TPMP) to achieve firm fixation of the open-door vertebral LP fully. The objective is to enhance the fixation stability, effectively prevent the possibility of "re-closure," and may facilitate bone healing. TPMP was designed by incorporating a fusion body and porous structures, and a three-dimensional finite element cervical model of C2-T1 was constructed and validated. Load LN and LP finite element models, respectively, and analyze and simulate the detailed processes of the two surgeries. It was simultaneously implanting the TPMP into LP to evaluate its biomechanical properties. We find that the range of motion (ROM) of C4-C5 after LN surgery was greater than that of LP implanted with different plates alone. Furthermore, flexion-extension, lateral bending, and axial rotation reflect this change. More noteworthy is that LN has a much larger ROM on C2-C3 in axial rotation. The ROM of LP implanted with two different plates is similar. There is almost no difference in facet joint stress in lateral bending. The facet joint stress of LN is smaller on C2-C3 and C4-C5, and larger more prominent on C5-C6 in the flexion-extension. Regarding intervertebral disc pressure (IDP), there is little difference between different surgeries except for the LN on C2-C3 in axial rotation. The plate displacement specificity does not significantly differ from LP with vertebral titanium mini-plate (TMP) and LP with TPMP after surgery. The stress of LP with TPMP is larger in C4-C5, C5-C6. Moreover, LP with TMP shows greater stress in the C3-C4 during flexion-extension and lateral bending. LP may have better postoperative stability when posterior approach surgery is used to treat CSM; at the same time, the new type of vertebral titanium mini-plate can achieve almost the same effect as the traditional titanium mini-plate after surgery for LP. In addition, it has specific potential due to the porous structure promoting bone fusion.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/0839948d8b3a/fbioe-12-1353797-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/025c6912aa12/fbioe-12-1353797-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/a5abc25ff56d/fbioe-12-1353797-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/5dbaef4ce23c/fbioe-12-1353797-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/3af58a85ccc9/fbioe-12-1353797-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/53ab878a1031/fbioe-12-1353797-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/16b31cf35ef5/fbioe-12-1353797-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/0dd6ad66cecd/fbioe-12-1353797-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/60169cb22738/fbioe-12-1353797-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/0839948d8b3a/fbioe-12-1353797-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/025c6912aa12/fbioe-12-1353797-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/a5abc25ff56d/fbioe-12-1353797-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/5dbaef4ce23c/fbioe-12-1353797-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/3af58a85ccc9/fbioe-12-1353797-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/53ab878a1031/fbioe-12-1353797-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/16b31cf35ef5/fbioe-12-1353797-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/0dd6ad66cecd/fbioe-12-1353797-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/60169cb22738/fbioe-12-1353797-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6b1/10875091/0839948d8b3a/fbioe-12-1353797-g009.jpg

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[2]
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[3]
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本文引用的文献

[1]
Biomechanical evaluation of a novel individualized zero-profile cage for anterior cervical discectomy and fusion: a finite element analysis.

Front Bioeng Biotechnol. 2023-9-7

[2]
Comparing zero-profile and conventional cage and plate in anterior cervical discectomy and fusion using finite-element modeling.

Sci Rep. 2023-9-22

[3]
Comparison of biomechanical parameters of two Chinese cervical spine rotation manipulations based on motion capture and finite element analysis.

Front Bioeng Biotechnol. 2023-7-27

[4]
Effect of muscle activation scheme in human head-neck model on estimating cervical spine ligament strain from military volunteer frontal impact data.

Accid Anal Prev. 2023-9

[5]
Finite element analysis of optimized novel additively manufactured non-articulating prostheses for cervical total disc replacement.

Front Bioeng Biotechnol. 2023-6-1

[6]
A finite element model of contusion spinal cord injury in rodents.

J Mech Behav Biomed Mater. 2023-6

[7]
Laminoplasty versus laminectomy with fusion for treatment of multilevel cervical compressive myelopathy: an updated meta-analysis.

Postgrad Med J. 2022-9-1

[8]
Improvement and validation of a female finite element model of the cervical spine.

J Mech Behav Biomed Mater. 2023-6

[9]
Quantitatively biomechanical response analysis of posterior musculature reconstruction in cervical single-door laminoplasty.

Comput Methods Programs Biomed. 2023-5

[10]
Incorporating strategy in hybrid surgery for continuous two-level cervical spondylosis from a biomechanical perspective.

Comput Methods Programs Biomed. 2022-11

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