新型腰椎内固定系统的有限元分析比较
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作者单位:

1.潍坊医学院;2.潍坊市人民医院

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基金项目:

潍坊市科技发展计划项目;山东省自然科学基金


Finite element analysis and comparison of new lumbar spine internal fixation system
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Affiliation:

1.Weifang Medical University;2.Weifang People'3.'4.s Hospital

Fund Project:

Weifang City Science and Technology Development Plan Project; Shandong Provincial Natural Science Foundation

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    摘要:

    摘要:[目的]通过有限元法分析新型腰椎内固定系统的生物力学特点,论证新型腰椎内固定系统在降低内固定松动率方面的临床价值。[方法]获取60岁骨质疏松志愿者的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新型腰椎内固定系统模型(A组)、传统椎弓根螺钉内固定系统模型(B组)、传统椎弓根螺钉内固定系统+横连接模型(C组)、传统椎弓根螺钉内固定系统+骨水泥模型(D组),并分别在前屈、后伸、左右侧屈、左右旋转六种状态下加载,比较各组模型在不同运动状态下的椎间活动度、内固定系统的应力峰值和钉道周围骨质的应力峰值的差异。[结果]①四组模型中A组手术模型在各运动状态下的椎间活动度最小,在旋转运动时的活动度较B、C、D三组明显减少,最大较B组减少了34.92%。②四组模型中A组内固定系统应力分布更均匀,A组内固定系统在各运动状态下的应力峰值最小,且在旋转运动时应力峰值较B、C、D三组明显减少,最大较B组减少了36.44%。③四组模型中A组钉道周围骨质在各运动状态下的应力峰值最小,在旋转运动时应力峰值较B、C、D三组明显减少,最大较B组减少了26.94%。[结论]新型腰椎螺钉内固定系统具有更好的稳定性,可以有效降低腰椎内固定松动率。

    Abstract:

    Abstract:[Purpose] Analyze the biomechanical characteristics of the new lumbar spine internal fixation system by finite element method, and demonstrate the clinical value of the new lumbar spine internal fixation system in reducing the loosening rate of internal fixation. [Methods] Acquire CT scan data of 60-year-old volunteers with osteoporosis, use Mimics, UG, and Abaqus software to build L4-5 vertebral body models, and build a new lumbar internal fixation system model (group A) and traditional pedicle screws on this basis. Internal fixation system model (group B), traditional pedicle screw internal fixation system + transverse connection model (group C), traditional pedicle screw internal fixation system + bone cement model (group D), Load in six states: forward flexion, extension, left and right lateral flexion, and left and right rotation, Compare the difference of the intervertebral range of motion, the peak stress of the internal fixation system and the peak stress of the bone around the nail channel under different motion states of each group of models.[Results]①Among the four groups of models, the surgical model of group A has the smallest intervertebral mobility in each state of motion, and the mobility during rotational movement is significantly less than that of the three groups B, C, and D, and the maximum is 34.92% less than that of group B.②In the four groups of models, the stress distribution of the internal fixation system in group A is more uniform, and the stress peak of the internal fixation system in group A is the smallest in each movement state, and the stress peak is significantly reduced compared to the three groups B, C, and D during rotation, and the maximum is higher than that of B The group decreased by 36.44%.③Among the four groups of models, the peak stress of the bone around the nail channel in group A was the smallest in each movement state, and the peak stress during the rotation movement was significantly reduced compared with the three groups B, C, and D, and the maximum was reduced by 26.94% compared with the B group. [Conclusion] the new lumbar spine screw internal fixation system has better stability and can effectively reduce the loosening rate of lumbar spine internal fixation.

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  • 收稿日期:2021-12-03
  • 最后修改日期:2021-12-03
  • 录用日期:2021-12-21
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