脊柱体内的绳索预紧张 绳索减少了脊柱的运动,并影响了合运动:有限元分析
Luis Fernando Nicolini1, Rafael Carreira Oliveira2, Marx Ribeiro3
1Group of Analysis and Mechanical Design - GRANTE, Dep. of Mechanical Engineering, Federal University of Santa Catarina, Brazil; Mechanical and Aerospace Technology Laboratory (NUMAE), Dep. of Mechanical Engineering, Federal University of Santa Maria, Brazil.
Computers in biology and medicine
|December 19, 2023
概括
前脊椎体绑定 (VBT) 减少了青少年异常脊柱病患者的脊柱运动. 增加带前紧张会减少运动范围,并改变结合的脊柱运动.
科学领域:
- 脊柱生物力学 脊柱生物力学
- 整形外科手术 整形外科手术
- 青少年异常学脊椎病的治疗方法
背景情况:
- 前脊椎体绑定 (VBT) 是一种新兴的无融合外科手术技术,用于青少年异常学脊椎病.
- 了解VBT的生物力学影响,特别是带前紧张,对于优化患者的治疗结果至关重要.
研究的目的:
- 为了研究在VBT中变化的绳索前紧张对脊柱生物力学的影响.
- 分析对三角形和横形参数,初级和合运动以及L2上端板应力的影响.
主要方法:
- 使用L1-L2脊柱的经过验证的有限元模型.
- 在左侧模拟了VBT仪器仪表,预压为100N,200N和300N.
- 用仪器测试的脊柱在各个方向受到6Nm纯矩,以测量运动范围和合运动.
主要成果:
- 与本地脊柱相比,绳索前紧张显著减少了延伸,曲和轴旋转的整体运动范围.
- VBT在曲-延伸过程中产生了合的横向曲,并在横向曲过程中产生了合的曲/延伸,这与前拉伸有所不同.
- 较高的预紧张导致运动减少较大,并改变了合运动.
结论:
- 脊柱体绑定通过减少运动和诱导合运动来影响脊柱生物力学.
- 绳索前紧张是VBT的一个关键因素,较高的紧张导致对脊柱运动有更明显的影响.
- 需要进一步的研究,以充分阐明这些生物力学发现的长期临床影响.
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