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经皮骨水泥椎间盘成形术治疗脊柱侧凸的生物力学效应的有限元分析。

Finite element analysis of biomechanical effects of percutaneous cement discoplasty in scoliosis.

机构信息

Affiliated Zhongshan Hospital of Dalian University, No. 6 Jiefang Street, Zhongshan District, Dalian, Liaoning Province, 116001, People's Republic of China.

出版信息

BMC Musculoskelet Disord. 2024 Apr 12;25(1):285. doi: 10.1186/s12891-023-06741-y.

DOI:10.1186/s12891-023-06741-y
PMID:38609902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11015543/
Abstract

OBJECTIVE

To investigate the effect of bone cement on the vertebral body and biomechanical properties in percutaneous cement discoplasty (PCD) for degenerative lumbar disc disease.

METHODS

Three-dimensional reconstruction of L2 ~ L3 vertebral bodies was performed in a healthy volunteer, and the corresponding finite element model of the spine was established. Biomechanical analysis was performed on the changes in stress distribution in different groups of models by applying quantitative loads.

RESULTS

Models with percutaneous discoplasty (PCD) showed improved stability under various stress conditions, and intervertebral foraminal heights were superior to models without discoplasty.

CONCLUSION

Cement discoplasty can improve the stability of the vertebral body to a certain extent and restore a certain height of the intervertebral foramen, which has a good development prospect and potential.

摘要

目的

探讨经皮骨水泥椎间盘成形术(PCD)治疗退变性腰椎间盘疾病时骨水泥对椎体及生物力学性能的影响。

方法

对健康志愿者的 L2~L3 椎体进行三维重建,并建立相应的脊柱有限元模型。通过施加定量载荷,对不同组模型的应力分布变化进行生物力学分析。

结果

PCD 模型在各种应力条件下表现出更好的稳定性,椎间孔高度优于无椎间盘成形术模型。

结论

骨水泥椎间盘成形术可在一定程度上提高椎体稳定性,恢复一定的椎间孔高度,具有良好的发展前景和潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f19b/11015543/ede7a34da82a/12891_2023_6741_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f19b/11015543/7e3750755f38/12891_2023_6741_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f19b/11015543/5754ee4f6a4a/12891_2023_6741_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f19b/11015543/ede7a34da82a/12891_2023_6741_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f19b/11015543/7e3750755f38/12891_2023_6741_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f19b/11015543/5754ee4f6a4a/12891_2023_6741_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f19b/11015543/ede7a34da82a/12891_2023_6741_Fig3_HTML.jpg

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本文引用的文献

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Modified poly(methyl methacrylate) bone cement in the treatment of Kümmell disease.改良聚甲基丙烯酸甲酯骨水泥治疗Kümmell病
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Testing the impact of discoplasty on the biomechanics of the intervertebral disc with simulated degeneration: An in vitro study.
测试椎间盘成形术对模拟退变的椎间盘生物力学的影响:一项体外研究。
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Percutaneous Cement Discoplasty for the Treatment of Advanced Degenerative Disc Conditions: A Case Series Analysis.经皮水泥椎间盘成形术治疗晚期椎间盘退变疾病:病例系列分析
Global Spine J. 2020 Sep;10(6):729-734. doi: 10.1177/2192568219873885. Epub 2019 Sep 6.
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Development of a Three-Dimensional Finite Element Model of Thoracolumbar Kyphotic Deformity following Vertebral Column Decancellation.脊柱椎体松质骨切除术后胸腰椎后凸畸形三维有限元模型的建立。
Appl Bionics Biomech. 2019 May 20;2019:5109285. doi: 10.1155/2019/5109285. eCollection 2019.
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