水泥增强和预防性脊椎造形术对多层次脊柱融合中的相邻部分稳定性的生物力学影响:有限元分析
Jae Won Shin1, Dae Hyeon Kim2, Ki Mun Kang2
1Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul 06273, Republic of Korea.
Bioengineering (Basel, Switzerland)
|October 29, 2025
概括
对于脊柱融合的水泥增强没有对邻近的脊柱段产生负面影响. 然而,预防性脊椎整形增加了相邻水平的压力,可能会增加脊柱融合患者的骨折风险.
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
- 生物材料是一种生物材料.
背景情况:
- 多层次的后脊髓融合会导致诸如螺丝松动和近端结节形等并发症.
- 混凝土增强和预防性脊椎造形术用于减轻这些风险,但它们的生物力学影响尚未完全理解.
研究的目的:
- 为了研究水泥增强和预防性脊椎造形在多层次后脊柱融合中的生物力学效应.
- 分析相邻脊柱段的运动范围,肌内压力和应力分布的变化.
主要方法:
- 一个经过验证的有限元模型 (T8-骨盆) 用于模拟五个脊柱配置.
- 在模拟生理负荷下分析了包括运动范围,肌内压力和带/面部应力在内的生物力学参数.
主要成果:
- 上部仪器脊椎的水泥增强显示出运动范围,肌内压力和后部带/面部应力最小的变化 (<5%).
- 预防性脊椎塑造导致近距离的应力再分配,在相邻水平 (T9和/或T8) 上增加了水泥骨接口应力.
结论:
- 对于邻近的脊柱生物力学,单独的水泥增强似乎是安全的.
- 预防性脊椎整形可能会增加骨折风险,原因是相邻接口的异常应力度.
- 需要进一步的研究,特别是在骨质疏松症患者群体中,以指导患者选择这些干预措施.
相关概念视频
Deformation of Member under Multiple Loadings
When a rod is made of different materials or has various cross-sections, it must be divided into parts that meet the necessary conditions for determining the deformation. These parts are each characterized by their internal force, cross-sectional area, length, and modulus of elasticity. These parameters are then used to compute the deformation of the entire rod.
In the case of a member with a variable cross-section, the strain is not constant but depends on the position. The deformation of an...
In the case of a member with a variable cross-section, the strain is not constant but depends on the position. The deformation of an...
Bending of Members Made of Several Materials
In analyzing a structural member composed of two different materials with identical cross-sectional areas, it is crucial to understand how their distinct elastic properties affect the member's response under load. The analysis involves assessing stress and strain distributions using the transformed section concept, which accounts for variations in material properties.
Hooke's Law determines stress in each material, stating that stress is proportional to strain but varies due to each material's...
Hooke's Law determines stress in each material, stating that stress is proportional to strain but varies due to each material's...
Plastic Deformations of Members with a Single Plane of Symmetry
When a structural member undergoes plastic deformation due to bending, it is crucial to understand the position of the neutral axis and the stress distribution. This member, characterized by a single plane of symmetry, exhibits a uniform stress distribution, with negative stress above the neutral axis and positive stress below. Notably, the neutral axis does not align with the centroid of the cross-section. This misalignment is typical in cases where the cross-section is not rectangular or...
Euler's Formula for Pin-Ended Columns
In structural engineering, the stability of columns under compressive axial loads is a critical consideration, described as buckling. A typical example involves a column PQ, which is pin-connected at both ends and subjected to a centric axial load F applied at one end, with a reaction force of F' = -F at the other end. Here, it is crucial to understand that when an applied load exceeds the critical load, buckling occurs as the system becomes unstable.
To calculate the critical load, envision...
To calculate the critical load, envision...
Euler's Formula to Columns: Problem Solving
Euler's formula is used in structural engineering to determine the buckling load of columns under various conditions. However, when dealing with systems that incorporate both rigid elements and elastic components, such as springs, the analysis requires a finer approach to determine the critical load. The problem described involves two rigid bars connected at a pivot point with a spring attached and a vertical load applied at one end.
The system comprises two vertical rigid bars, AB and BC, of...
The system comprises two vertical rigid bars, AB and BC, of...
Design of Columns under a Centric Load
The design of columns under centric load is a fundamental aspect of structural engineering and is critical for ensuring the stability and integrity of structures. Euler's and Secant's formulas are central to understanding and calculating the critical load and deformation behaviors of columns, providing a basis for safe and effective structural design.
Euler's formula is applicable under the assumption that the column is a perfect, straight, homogenous prism, and it is operating within the...
Euler's formula is applicable under the assumption that the column is a perfect, straight, homogenous prism, and it is operating within the...

