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Biomechanical analysis of the tandem spinal external fixation in a multiple-level noncontiguous lumbar fractures model: a finite element analysis.

作者信息

Chen Huarong, Kang Yu, Yan Yiguo, Wang Hu, Peng Wen, Liao Yijia, Zou Mingxiang, Xu Zhun, Song Xizheng, Wang Wenjun, Wang Cheng

机构信息

The First Affiliated Hospital, Department of Spine Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, China.

Central People's Hospital of Zhanjiang, Zhanjiang, Guangdong, China.

出版信息

Front Bioeng Biotechnol. 2024 Jun 19;12:1395197. doi: 10.3389/fbioe.2024.1395197. eCollection 2024.


DOI:10.3389/fbioe.2024.1395197
PMID:38962665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11219947/
Abstract

OBJECTIVE: This study aimed to investigate the biomechanical characteristics of the tandem spinal external fixation (TSEF) for treating multilevel noncontiguous spinal fracture (MNSF) using finite element analysis and provide a theoretical basis for clinical application. METHODS: We constructed two models of L2 and L4 vertebral fractures that were fixed with the TSEF and the long-segment spinal inner fixation (LSIF). The range of motion (ROM), maximum stresses at L2 and L4 vertebrae, the screws and rods, and the intervertebral discs of the two models were recorded under load control. Subsequently, the required torque, the maximum stress at L2 and L4 vertebrae, the screws and rods, and the intervertebral discs were analyzed under displacement control. RESULTS: Under load control, the TSEF model reserved more ROM than the LSIF model. The maximum stresses of screws in the TSEF model were increased, while the maximum stresses of rods were reduced compared to the LSIF model. Moreover, the maximum stresses of L2 and L4 vertebrae and discs in the TSEF model were increased compared to the LSIF model. Under displacement control, the TSEF model required fewer moments (N·mm) than the LSIF model. Compared to the LSIF model, the maximum stresses of screws and rods in the TSEF model have decreased; the maximum stresses at L2 and L4 in the TSEF model were increased. In the flexion condition, the maximum stresses of discs in the TSEF model were less than the LSIF model, while the maximum stresses of discs in the TSEF model were higher in the extension condition. CONCLUSION: Compared to LSIF, the TSEF has a better stress distribution with higher overall mobility. Theoretically, it reduces the stress concentration of the connecting rods and the stress shielding of the fractured vertebral bodies.

摘要

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Biomechanical analysis of the tandem spinal external fixation in a multiple-level noncontiguous lumbar fractures model: a finite element analysis.

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引用本文的文献

[1]
Advances in the clinical diagnosis and treatment of multiple-level noncontiguous spinal fractures.

Front Neurol. 2024-11-21

本文引用的文献

[1]
Relationships Among Bone Morphological Parameters and Mechanical Properties of Cadaveric Human Vertebral Cancellous Bone.

JBMR Plus. 2020-3-12

[2]
Characterization of regional variation of bone mineral density in the geriatric human cervical spine by quantitative computed tomography.

PLoS One. 2022

[3]
How to Optimize Pedicle Screw Parameters for the Thoracic Spine? A Biomechanical and Finite Element Method Study.

Global Spine J. 2024-1

[4]
Biomechanical and Clinical Study of Rod Curvature in Single-Segment Posterior Lumbar Interbody Fusion.

Front Bioeng Biotechnol. 2022-3-3

[5]
Computational Modeling Intervertebral Disc Pathophysiology: A Review.

Front Physiol. 2022-1-13

[6]
Load Distribution in the Lumbar Spine During Modeled Compression Depends on Lordosis.

Front Bioeng Biotechnol. 2021-6-10

[7]
Effect of Mechanical Strain on Cells Involved in Fracture Healing.

Orthop Surg. 2021-4

[8]
The role of mechanical stimulation in the enhancement of bone healing.

Injury. 2021-6

[9]
Nitinol Memory Rods Versus Titanium Rods: A Biomechanical Comparison of Posterior Spinal Instrumentation in a Synthetic Corpectomy Model.

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[10]
Mechanical performance and implications on bone healing of different screw configurations for plate fixation of diaphyseal tibia fractures: a computational study.

Eur J Orthop Surg Traumatol. 2021-1

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