新型腰椎椎弓根钉固定的有限元分析
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赵晓栋,潍坊医学院在读研究生,研究方向:外科学,(电话)18365622806,(电子信箱)1064625994@qq.com

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R687

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潍坊市科技发展计划项目(编号:2018YX001);山东省自然科学基金面上项目(编号:ZR2020MH093)


Finite element analysis on a novel pedicle screw fixation for lumbar spine
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    摘要:

    [目的] 采用有限元法比较新型椎弓根钉 (novel pedicle screw, NPS)、传统椎弓根螺钉 (traditional pedicle screw, TPS)、传统椎弓根螺钉+横连接 (TPS-transvers link, TPS-T)、传统椎弓根螺钉+骨水泥 (TPS- bone cement, TPS-C) 的生物力学特点。[方法] 获取志愿者的腰椎 CT 扫描数据,运用 Mimics、UG、Abaqus 软件建立 L4/5椎体模型,在此基础上分别建立 NPS、TPS、TPS-T 和 TPS-C 固定模型,并分别在前屈、后伸、左右侧屈、左右旋转 6 个活动自由度,比较各组模型的节段活动度 (range of motion, ROM)、螺钉和钉道骨质的 von Mises 应力。[结果] 在屈伸、左右侧屈运动时,NPS 组模型的 ROM、螺钉 von Mises 应力、钉道骨质 von Mises 应力与其余三组的差异无统计学意义 (P>0.05)。在左右旋转时,NPS 组的 ROM、螺钉 von Mises 应力和钉道骨质 von Mises 应力均显著小于其余三组 (P<0.05)。TPS 组的 ROM、螺钉 von Mises 应力和钉道骨质 von Mises 应力均显著大于其余三组 (P<0.05)。TPS-T 组和 TPS-C 组的 ROM 和螺钉 von Mises 应力差异无统计学意义 (P>0.05), 但 TPS-T 组钉道骨质 von Mises 应力显著小于 TPS-C 组 (P<0.05)。[结论] 在旋转运动时,NPS 组模型 ROM、螺钉 von Mises 应力和钉道骨质 von Mises 应力较其余三组小,可降低螺钉的松动率。

    Abstract:

    [Objective] To compare biomechanical characteristics of a novel pedicle screw (NPS) with the traditional pedicle screw (TPS) , TPS combined with transvers link (TPS-T) and TPS enhanced by bone cement (TPS-C) by finite element method. [Methods] The lumbar CT scan data of volunteers were obtained, and the L4/5 vertebral body model was established by Mimics, UG and Abaqus software. On this basis, the NPS, TPS, TDS-T and TDS-C fixation models were established respectively. In 6 degrees of freedom, including flexion, extension, left and right lateral bending, left and right rotation, the segmental range of motion (ROM) , von Mises stress on the screw and bone around screw tract were compared among 4 groups. [Results] In terms of flexion, extension, left lateral bending and right bending, there were no significant differences in ROM, screw von Mises stress and bone von Mises stress between NPS group and the other three groups (P>0.05) . In terms of left and right rotations, the NPS group had ROM, screw von Mises stress and bone von Mises stress significant- ly lower than the other three groups (P<0.05) , whereas the TPS group had ROM, screw von Mises stress and bone von Mises stress signifi- cantly higher than the other three groups (P<0.05) . There was no significant difference in ROM and screw von Mises stress between TPS-T group and TPS-C group (P>0.05) , but the TPS-T group had bone von Mises stress significantly lower than that in TPS-C group (P<0.05) . [Conclusion] The NPS has considerably lower ROM, screw von Mises stress and bone von Mises stress than the 3 types of TPS, which might be facilitated to reduce the screw loosening.

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赵晓栋,厉锋,刘大勇,等. 新型腰椎椎弓根钉固定的有限元分析[J]. 中国矫形外科杂志, 2022, 30 (4): 348-353. DOI:10.3977/j. issn.1005-8478.2022.04.13.
ZHAO Xiao-dong, LI Feng, LIU Da-yong, et al. Finite element analysis on a novel pedicle screw fixation for lumbar spine[J]. Orthopedic Journal of China , 2022, 30 (4): 348-353. DOI:10.3977/j. issn.1005-8478.2022.04.13.

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  • 收稿日期:November 01,2021
  • 最后修改日期:December 21,2021
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  • 在线发布日期: June 10,2023
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