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Tytuł artykułu

Three-dimensional finite element analysis of a novel interzygapophyseal fusion device for lower cervical spine

Treść / Zawartość
Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
A three-dimensional finite element model of the lower cervical spine was established to evaluate the biomechanical stability and stress distribution of the new lower cervical interzygapophyseal fusion device (IZFD) developed by ourselves under different construct. The aim of this study was to provide theoretical basis for further clinical application. Methods: A normal fresh cadaveric specimen (male, 35 years old) was used to establish an intact three-dimensional finite element model of C3–C6. On this basis, the comparative finite element models of the lateral mass screw rod (LMSR) system and LMSR+IZFD were established. Only C4–C5 is fixed in the lateral mass. The range of motion (ROM) and stress distribution in the flexion,extension, lateral bending and rotation of the C4–C5 segment under the three constructs were analyzed. Results: The ROM and stress distribution of the three-dimensional finite element model under load construct were within a reasonable range, which proved the validity and reliability of the model. The ROM and stress distribution of C4–C5 segment was significantly decreased in both LMSR and LMSR+IZFD constructs than those in the intact construct. The ROM and stresss distribution were even smaller in LMSR+IZFD construct than in LMSR construct. Conclusions: The IZFD combined with LMSR system can provide satisfactory stability for the lower cervical spine, and the IZFD can further improve the fixation effect of the LMSR system.
Rocznik
Strony
187--193
Opis fizyczny
Bibliogr. 20 poz., rys., tab., wykr.
Twórcy
autor
  • Department of Orthopedics, General Hospital of Northern Theater Command, Shenyang, Liaoning Province, China.
  • China Medical University, Shenyang, Liaoning Province, China.
autor
  • Department of Orthopedics, General Hospital of Northern Theater Command, Shenyang, Liaoning Province, China.
autor
  • Department of Orthopedics, General Hospital of Northern Theater Command, Shenyang, Liaoning Province, China.
autor
  • Department of Orthopedics, General Hospital of Northern Theater Command, Shenyang, Liaoning Province, China.
autor
  • Department of Orthopedics, General Hospital of Northern Theater Command, Shenyang, Liaoning Province, China.
autor
  • Department of Orthopedics, General Hospital of Northern Theater Command, Shenyang, Liaoning Province, China.
autor
  • Department of Orthopedics, General Hospital of Northern Theater Command, Shenyang, Liaoning Province, China.
  • China Medical University, Shenyang, Liaoning Province, China.
Bibliografia
  • [1] CHENG N.S., LAU P.Y., SUN L.K., WONG N.M., Fusion rate of anterior cervical plating after corpectomy, J. Orthop. Surg. (Hong Kong), 2005, 13 (3), 223–227, DOI: 10.1177/230949900501300302.
  • [2] CUSICK J.F., YOGANANDAN N., PINTAR F., MYKLEBUST J., HUSSAIN H., Biomechanics of cervical spine facetectomy and fixation techniques, Spine (Phila, Pa, 1976), 1988, 13 (7), 808–812.
  • [3] GANDHI A.A., KODE S., DEVRIES N.A., GROSLAND N.M., SMUCKER J.D., FREDERICKS D.C., Biomechanical Analysis of Cervical Disc Replacement and Fusion Using Single Level, Two Level, and Hybrid Constructs, Spine, 2015, 40, 1578–1585, DOI: 10.1097/brs.0000000000001044.
  • [4] GOEL A., SHAH A., Facetal distraction as treatment for singleand multilevel cervical spondylotic radiculopathy and myelopathy: a preliminary report, J. Neurosurg. Spine, 2011, 14 (6), 689–696, DOI: 10.3171/2011.2.SPINE10601.
  • [5] HEDENSTIERNA S., HALLDIN P., How does a three-dimensional continuum muscle model affect the kinematics and muscle strains of a finite element neck model compared to a discrete muscle model in rear-end, frontal, and lateral impacts, Spine, 2008, 33, E236-245, DOI: 10.1097/BRS.0b013e31816b8812.
  • [6] KANEMATSU R., HANAKITA J., TAKAHASHI T., MINAMI M., INOUE T., HONDA F., Risk Factor Analysis of Facet Fusion Following Cervical Lateral Mass Screw Fixation with a Minimum 1-Year Follow-up: Assessment of Maximal Insertional Screw Torque and Incidence of Loosening, Neurol. Med. Chir. (Tokyo), 2021, 61 (1), 40–46, DOI: 10.2176/nmc.oa.2020-0206.
  • [7] KARADOGAN E., WILLIAMS R.L., Three-dimensional static modeling of the lumbar spine, Journal of Biomechanical Engineering, 2012, 134, 084504, DOI: 10.1115/ 1.4007172.
  • [8] KATO Y., KANEKO K., KATAOKA H., KOJIMA T., IMAJYO Y., TAGUCHI T., Cervical hemilaminoplasty: technical note, Journal of Spinal Disorders and Techniques, 2007, 20, 296–301, DOI: 10.1097/01.bsd.0000211287.98895.a3.
  • [9] KHUYAGBAATAR B., KIM K., PARK W.M., KIM Y.H., Influence of sagittal and axial types of ossification of posterior longitudinal ligament on mechanical stress in cervical spinal cord: A finite element analysis, Clin. Biomech. (Bristol, Avon), 2015, 30, 1133–1139.
  • [10] KUROKAWA R., KIM P., Cervical Laminoplasty: The History and the Future, Neurologia Medico-Chirurgica, 2015, 55, 529–539, DOI: 10.2176/nmc.ra.2014-0387.
  • [11] MCCORMACK B.M., DHAWAN R., Novel instrumentation and technique for tissue sparing posterior cervical fusion, J. Clin. Neurosci., 2016, 34, 299–302, DOI: 10.1016/j.jocn.2016.08.008.
  • [12] NG H.W., TEO E.C., Nonlinear finite-element analysis of the lower cervical spine (C4–C6) under axial loading, Journal of Spinal Disorders, 2001, 14, 201–210, DOI: 10.1097/00002517-200106000-00003.
  • [13] PANJABI M.M., WHITE A.A. 3rd, JOHNSON R.M., Cervical spine mechanics as a function of transection of components, J. Biomech., 1975, 8 (5), 327–336.
  • [14] RAYNOR R.B., PUGH J., SHAPIRO I., Cervical facetectomy and its effect on spine strength, J. Neurosurg., 1985, 63 (2), 278–282.
  • [15] TANAKA N., FUJIMOTO Y., AN H.S., IKUTA Y., YASUDA M., The anatomic relation among the nerve roots, intervertebral foramina, and intervertebral discs of the cervical spine, Spine, 2000, 25, 286–291, DOI: 10.1097/00007632-200002010-00005.
  • [16] TASO M., FRADET L., CALLOT V., ARNOUX P.J., Anteroposterior compression of the spinal cord leading to cervical myelopathy: a finite element analysis, Comput. Methods Biomech. Biomed. Engin., 2015, 18 (Suppl 1), 2070–2071.
  • [17] VOO L.M., KUMARESAN S., YOGANANDAN N., PINTAR F.A., CUSICK J.F., Finite element analysis of cervical facetectomy, Spine, 1997, 22 (9), 964–969.
  • [18] VORONOV L.I., SIEMIONOW K.B., HAVEY R.M., CARANDANG G., PHILLIPS F.M., PATWARDHAN A.G., Bilateral posteriori cervical cages provide biomechanical stability: assessment of stand-alone and supplemental fixation for anterior cervical discectomy and fusion, Med. Devices (Auckl.), 2016, 9, 223–230, DOI: 10.2147/MDER.S109588, eCollection 2016.
  • [19] WU T.K., MENG Y., LIU H., WANG B.Y., HONG Y., RONG X., DING C., CHEN H., Biomechanical effects on the intermediate segment of noncontiguous hybrid surgery with cervical disc arthroplasty and anterior cervical discectomy and fusion: a finite element analysis, The Spine Journal: official journal of the North American Spine Society, 2019, 19, 1254–1263, DOI: 10.1016/j.spinee.2019.02.004.
  • [20] ZDEBLICK T.A., ZOU D., WARDEN K.E., MCCABE R., KUNZ D., VANDERBY R., Cervical stability after foraminotomy. A biomechanical in vitro analysis, J. Bone Joint Surg. Am., 1992, 74 (1), 22–27.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-937c465f-c275-421b-beb2-f8cbe5c67e50
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