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A Finite Element Study of Simulated Fusion in an L4-L5 Model: Influence of the Combination of Materials in the Screw-and-Rod Fixation System on Reproducing Natural Bone Behavior.

作者信息

Ceddia Mario, Lamberti Luciano, Trentadue Bartolomeo

机构信息

Department of Mechanics, Mathematics and Management, Polytechnic of Bari, 70125 Bari, Italy.

出版信息

Biomimetics (Basel). 2025 Jan 24;10(2):72. doi: 10.3390/biomimetics10020072.


DOI:10.3390/biomimetics10020072
PMID:39997095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11853378/
Abstract

The mechanical properties of materials for spinal fixation can significantly affect spinal surgical outcomes. Traditional materials such as titanium exhibit high stiffness, which can lead to stress shielding and adjacent segment degeneration. This study investigates the biomechanical performance of titanium and PEEK (polyetheretherketone) in spinal fixation using finite element analysis, through the evaluation of the (). A three-dimensional finite element analysis (FEA) model of an L4/L5 functional spinal unit was developed to simulate the mechanical behavior of three fixation systems: titanium screws and rods (model A), titanium screws with PEEK rods (model B), and PEEK screws and rods (model C). The analysis evaluated stress distribution and load transfer under physiological conditions, in comparison with the intact spine (baseline model). : The analysis showed that titanium fixation systems resulted in higher stress shielding effects, with a significant difference in stress distribution compared to PEEK. The maximum stress recorded in the neutral position was 24.145 MPa for PEEK, indicating better biomechanical compatibility. : The results suggest that PEEK may be an attractive alternative to titanium for spinal fixation, promoting more healthy load transfer and minimizing the risk of stress shielding complications.

摘要

相似文献

[1]
A Finite Element Study of Simulated Fusion in an L4-L5 Model: Influence of the Combination of Materials in the Screw-and-Rod Fixation System on Reproducing Natural Bone Behavior.

Biomimetics (Basel). 2025-1-24

[2]
Biomechanical analysis of single-level interbody fusion with different internal fixation rod materials: a finite element analysis.

BMC Musculoskelet Disord. 2020-2-14

[3]
Comparison of biomechanical effects of polyetheretherketone (PEEK) rods and titanium rods in lumbar long-segment instrumentation: a finite element study.

Front Bioeng Biotechnol. 2024-7-11

[4]
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[5]
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J Biomech Eng. 2011-8

[6]
Effect of two-level pedicle-screw fixation with different rod materials on lumbar spine: A finite element study.

J Orthop Sci. 2018-3

[7]
Biomechanical comparison of polyetheretherketone rods and titanium alloy rods in transforaminal lumbar interbody fusion: a finite element analysis.

BMC Surg. 2024-5-29

[8]
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[9]
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[10]
[Application of polyetheretherketone rod semi-rigid pedicle screw internal fixation in lumbar non-fusion surgery].

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引用本文的文献

[1]
Finite Element Analysis of a 3D-Printed Acetabular Prosthesis for an Acetabular Defect According to the Paprosky Classification.

Materials (Basel). 2025-3-15

本文引用的文献

[1]
Biomechanical Finite Element Analysis of Two Types of Short-Angled Implants Across Various Bone Classifications.

Materials (Basel). 2024-11-21

[2]
Biomechanical comparison of polyetheretherketone rods and titanium alloy rods in transforaminal lumbar interbody fusion: a finite element analysis.

BMC Surg. 2024-5-29

[3]
FEA Comparison of the Mechanical Behavior of Three Dental Crown Materials: Enamel, Ceramic, and Zirconia.

Materials (Basel). 2024-1-30

[4]
The use of carbon fiber/polyetheretherketone (CF/PEEK) in pedicle screw fixation for spinal neoplasms-potential advantages in postoperative imaging and radiotherapy planning.

J Spine Surg. 2024-3-20

[5]
The role of stiffness-matching in avoiding stress shielding-induced bone loss and stress concentration-induced skeletal reconstruction device failure.

Acta Biomater. 2024-1-1

[6]
Finite element analysis comparing a PEEK posterior fixation device versus pedicle screws for lumbar fusion.

J Orthop Surg Res. 2023-11-10

[7]
Relationships Among Bone Morphological Parameters and Mechanical Properties of Cadaveric Human Vertebral Cancellous Bone.

JBMR Plus. 2020-3-12

[8]
Finite Element Analysis (FEA) of a Premaxillary Device: A New Type of Subperiosteal Implant to Treat Severe Atrophy of the Maxilla.

Biomimetics (Basel). 2023-7-31

[9]
Mechanical performance of porous biomimetic intervertebral body fusion devices: an in vitro biomechanical study.

J Orthop Surg Res. 2023-1-30

[10]
Biomechanical Comparison of Multilevel Lumbar Instrumented Fusions in Adult Spinal Deformity According to the Upper and Lower Fusion Levels: A Finite Element Analysis.

Biomed Res Int. 2022

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