新型颈椎多孔型(金属)网式融合器的三维有限元分析
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1.南华大学附属第一医院脊柱外科;2.湖南华翔增量制造股份有限公司

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湖南省重点研发计划项目(编号:2017SK2104);湖南省卫生计生委科研计划课题重点项目(编号:A2017016);湖南省脊柱微创临床医学研究中心(编号:2017SK4004)


Three-dimensional Finite Element Analysis of a New Type of Cervical porous (metal) Mesh Cage
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1.the First Affiliated Hospital of University of South China;2.Hunan Huaxiang Increment Manufacturing Co. Ltd.

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    摘要:

    [目的]通过三维有限元分析新型颈椎多孔型(金属)网式融合器应力分布特点,为其临床应用提供理论依据。[方法]利用3D打印技术,研发一种新型颈椎多孔型(金属)网式融合器,并以传统钛网融合器为对照,建立使用这两种钛网融合器的颈椎前路椎体次全切减压融合内固定术的三维有限元模型,在前屈后伸,左右侧屈,左右旋转等六种工况下施加73.6N的预载荷,1.5Nm的附加运动力矩,观察并分析融合器自身,钛板及融合器与上下终板接触面的应力分布情况。[结果]与传统融合器相比,在六种工况下,新型颈椎多孔型(金属)网式融合器自身最大应力减少了84% ~ 98%,C6上终板的最大应力减少了29% ~ 83%,C4下终板的最大应力减少了8% ~ 55%。在大部分工况下,新型颈椎多孔型(金属)网式融合器组的钛板最大应力值较传统钛网融合器组低,减少了钛板的应力遮挡,且结合钛板应力及椎体位移峰值分析,该新型融合器具有较强的即刻稳定性。在大部分工况下,两种钛网融合器组的终板应力最大值均位于上终板后缘,但新型颈椎多孔型(金属)网式融合器的终板后缘最大应力值要小于传统钛网,且有显著性差异。[结论] 与传统钛网融合器比较,新型颈椎多孔型(金属)网式融合器在颈椎前路椎体次全切减压融合内固定术后具有较强的即刻稳定性,能减少应力集中,减少钛板的应力遮挡,能显著降低上下终板的最大应力,能更好的预防融合器下沉。

    Abstract:

    [Objective] To investigate the stress distribution characteristics of a new type of porous (metal) mesh cage and provide theoretical basis for clinical application. [Methods] Using a 3D printing technique, a new type of cervical porous (metal) mesh cage was developed. The traditional titanium mesh was used as a control to establish a three-dimensional limited use of anterior cervical corpectomy and fusion with two kinds of titanium mesh. In the model, a preload of 73.6 N was applied under the six conditions of flexion and extension, left and right flexion, left and right rotation, and the stress distribution of titanium mesh, titanium plate and end plate were observed and analyzed. [Results] Under six working conditions, compared with traditional titanium mesh, the maximal stress of the cervical porous (metal) mesh cage was reduced by 84%~98%, the largest stress on the end plate of C6 went down 29% ~ 83%, the greatest stress of the end plate under C4 was decreased by 8% ~ 55%. Under most working conditions, the maximum stress value of the titanium plate of the new cervical porous (metal) mesh cage is lower than that of the traditional titanium mesh cage, which reduced the stress shielding of the titanium plate, and combined the stress of the titanium plate and peak analysis of the displacement of the vertebral body, the novel cervical porous (metal) mesh cage had strong immediate stability. Under most conditions, the maximum endplate stress of the two titanium mesh cages was located at the trailing edge of the upper endplate, but the maximum stress value of the trailing edge of the endplate of the new cervical porous (metal) mesh cage was less than traditional titanium mesh, and there were significant differences. [Conclusion] Compared with the traditional titanium mesh cage, the new cervical porous (metal) mesh cage has strong immediate stability after anterior cervical corpectomy and fusion, and it can reduce stress concentration, stress shielding of the plate and the maximum stress of the upper and lower end plates. So it can better prevent the mesh cage from sinking.

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  • 收稿日期:2019-02-16
  • 最后修改日期:2019-04-29
  • 录用日期:2019-05-21
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