在多层次非连续的腰部骨折模型中对双重脊柱外部固定的生物力学分析:有限元分析
Huarong Chen1,2, Yu Kang1,3, Yiguo Yan1
1The First Affiliated Hospital, Department of Spine Surgery, Hengyang Medical School, University of South China, Hengyang, Hunan, China.
与长段脊柱内部固定 (LSIF) 相比,Tandem脊柱外部固定 (TSEF) 在多层非连续脊柱骨折中提供了更好的应力分布和流动性. 这种方法理论上可以减少杆应力和脊椎身体屏蔽.
科学领域:
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 多层次非连续脊柱骨折 (MNSF) 存在复杂的治疗挑战.
- 目前的固定方法可能会导致应力屏蔽和植入物的集中应力.
研究的目的:
- 为了研究MNSF的协同脊柱外部固定 (TSEF) 的生物力学特征.
- 为TSEF的临床应用提供理论基础.
主要方法:
- 用有限元分析来建模L2和L4脊椎骨折.
- 创建了两个固定模型:TSEF和长段脊柱内固定 (LSIF).
- 在负载和位移控制下分析了运动范围,脊椎的应力,螺丝,杆和盘.
主要成果:
- 在负载控制下,TSEF显示出比LSIF更大的运动范围.
- 与LSIF相比,TSEF降低了杆应力,但增加了螺丝应力.
- 在位移控制下,TSEF需要更少的扭矩和减少螺丝和杆的压力,但增加了脊椎的压力.
结论:
- 与LSIF相比,TSEF显示压力分布和流动性得到改善.
- 理论上,TSEF可以最大限度地减少骨折的脊椎体的应力屏蔽和连接棒中的应力度.
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