Biomechanical Simulation of Artificial Lumbar Intervertebral Disc Replacement and Intervertebral Fusion

被引：0

作者：

Liu C. ^{[1
]}

Liu Q. ^{[2
]}

Yan Y.-H. ^{[1
]}

机构：

[1] School of Mechanical Engineering & Automation, Northeastern University, Shenyang

[2] Shengjing Hospital, China Medical University, Shenyang

来源：

Dongbei Daxue Xuebao/Journal of Northeastern University | 2019年 / 40卷 / 10期

关键词：

Artificial lumbar disc replacement; Biomechanics; Degeneration; Finite element; Intervertebral fusion;

D O I：

10.12068/j.issn.1005-3026.2019.10.026

中图分类号：

学科分类号：

摘要：

The finite element method was used to evaluate the biomechanical effects of artificial lumbar intervertebral disc replacement and intervertebral fusion. Based on the CT image data, a finite element model of lumbar segments L2~L5 was established, and two kinds of surgical models of artificial lumbar disc replacement and intervertebral fusion were established. The simulated physiological load was applied to the finite element model, and the intervertebral activity and facet joint stress of each segment of the two surgical models were calculated. The simulation results showed that artificial lumbar disc replacement has a significant motion preservation in the surgical segment compared with intervertebral fusion, but the range of motion(ROM)were 40.9% and 43.1% higher than that of the normal lumbar in extension and lateral bending, which may cause mild instability of the surgical segment. Artificial disc replacement improves the stress state of the small joints of the upper and lower adjacent segments, but the replacement segment will induce higher contact pressure of the small joints under torsional conditions. © 2019, Editorial Department of Journal of Northeastern University. All right reserved.

引用

页码：1517 / 1520

页数：3

共 10 条

[1]

Sasso R.C., Foulk D.M., Hahn M., Prospective, randomized trial of metal-on-metal artificial lumbar disc replacement: initial results for treatment of discogenic pain, Spine, 33, 2, pp. 123-131, (2008)

[2]

Mccullough B.J., Johnson G.R., Martin B.I., Et al., Lumbar MR imaging and reporting epidemiology: do epidemiologic data in reports affect clinical management?, Radiology, 262, 3, pp. 941-946, (2012)

[3]

Zeegers W.S., Bohnen L.M.L.J., Laaper M., Et al., Artificial disc replacement with the modular type SB Charité III: 2-year results in 50 prospectively studied patients, European Spine Journal, 8, 3, pp. 210-217, (1999)

[4]

Nie H., Chen G., Wang X., Et al., Comparison of total disc replacement with lumbar fusion: a meta-analysis of randomized controlled trials, Journal of the College of Physicians and Surgeons-Pakistan: JCPSP, 25, 1, pp. 60-67, (2015)

[5]

Wu Y.J., Zhu Y., Han X.X., Et al., A meta-analysis of artificial total disc replacement versus fusion for lumbar degenerative disc disease, European Spine Journal, 19, 8, pp. 1250-1261, (2010)

[6]

Tropiano P., Huang R.C., Girardi F.P., Et al., Lumbar disc replacement: preliminary results with ProDisc II after a minimum follow-up period of 1 year, Journal of Spinal Disorders & Techniques, 16, 4, pp. 362-368, (2003)

[7]

Natarajan R.N., Williams J.R., Andersson G.B., Recent advances in analytical modeling of lumbar disc degeneration, Spine, 29, 23, pp. 2733-2741, (2004)

[8]

Chuang W.H., Lin S.C., Chen S.H., Et al., Biomechanical effects of disc degeneration and hybrid fixation on the transition and adjacent lumbar segments, Spine, 37, 24, pp. 1488-1497, (2012)

[9]

Choi J., Shin D.A., Kim S., Biomechanical effects of the geometry of ball-and-socket artificial disc on lumbar spine: a finite element study, Spine, 41, 6, pp. 332-339, (2016)

[10]

Wilke H.J., Schmidt R., Richter M., Et al., The role of prosthesis design on segmental biomechanics: semi-constrained versus unconstrained prostheses and anterior versus posterior centre of rotation, European Spine Journal, 21, pp. 577-584, (2012)

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