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不同的人工磁盘对混合手术的影响的比较:有限元分析
Wei Jiang1, Fulin Zhao1, Waseem Ur Rahman1
1School of Mechanical Engineering, Dalian University of Technology, Dalian, China.
概括
与Prestige LP相比,Mobi-C人工宫盘在混合手术中可能提供更好的运动范围和相邻段压力补偿,尽管面部关节压力可能会增加.
科学领域:
- 生物机械分析分析
- 脊柱外科手术 脊柱外科手术
- 医疗器械工程 医疗器械工程
背景情况:
- 人工宫盘在椎间盘置换和混合手术 (HS) 中使用.
- 有限的研究存在于HS涉及前椎间盘切除和融合 (ACDF) 和椎盘关节整形 (CDA) 的各种假肢的生物力学影响.
研究的目的:
- 为了比较Mobi-C和Prestige LP人工椎盘在两级混合手术模型中的生物力学效应.
- 评估对操作和相邻脊柱段的影响.
主要方法:
- 创建了一个验证的C2-C7椎的3D有限元模型.
- 在C4-C5处模拟前宫融合,在C5-C6.6处植入Mobi-C或Prestige LP.
- 应用生理负载模拟曲,延伸,侧向曲和轴向旋转.
主要成果:
- 与Prestige LP相比,Mobi-C在替换部分表现出更好的运动范围 (ROM).
- 莫比-C显示,在相邻的片段中,对脊椎间压力的补偿更有效.
- 用Mobi-C,替换段的面部关节压力可能会更高.
结论:
- 摩比-C在宫脊椎疾病的混合手术中提供了潜在的生物机械优势.
- 在Mobi-C和Prestige LP之间做出选择可能涉及ROM,相邻段压力和面接关节负荷之间的权衡.
- 进一步的研究是有必要的,以充分理解长期的影响.
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