应用有限元对比分析单侧入路退针法与双侧固定点注射骨水泥椎体成形术生物力学变化.docVIP

应用有限元对比分析单侧入路退针法与双侧固定点注射骨水泥椎体成形术生物力学变化 隆全利，宓士军 河北省唐山市丰润区人民医院骨科隆全利，男，1973硕士通讯作者：宓士军，主任医师，硕士生导师唐山市丰润区人民医院骨科河北省唐山市mishijunf@163.com 【摘要】 目的 探讨应用有限元分析椎体成形术退针注射骨水泥方法的生物力学效果。方法采用的原始影像来自一位男性患者，7岁，L1椎体骨质疏松性患者伤椎采用单侧入路实施椎体成形术，进针点选择左侧椎弓根近中心部位，内倾角度为24.5°获取椎体L1L2节段断层图像对椎体上表面分别依次加载500N，1000N，1500N，2000N，2500N的轴向压缩负载随着施加负载的增加，应变和应力也逐渐增加，椎体呈现弹性性质，出现了近似线性的小变形情况。注射轴向压缩负载应力和应变。[Abstract] objective to use a validated finite element mordel to evaluate the vitodynamics effect of the vertebro bodies after vertebroplasty by needle withdraw way, methods the primary imagine is from a –seventy-old man,and his L1 is osteoporosisand painful. .the patient is given operation in the injuried vertebrae by onelateral,the needing point is in the left central of lateral mass of vertebrae, introversion angle is 24.5°,using withdraw way.first puncture the neelde to the front one third and inject 3ml bone cement in,and withdraw the needle to the middle of the vertebrae,staying 3 minits,and then inject 2 ml bone cement, and then withdraw the needle to the hind 1/3 of the body,injecting 1 ml in it. Contrasting with the way inject 3 ml bone cement from the left side and the right side respectively, and get L1~L2 fault image, getting a validated finite element mordel,exerting the load of 500N，1000N，1500N，2000N，2500Nsupine surface of the vertebra respectively and evaluate the stress distribution of the vertebro bodies.result with the load is increasing , the deformity and the strain increase with it,the vertebralbodies show the property of elasticcity,nearly linear minor deformity is. the way using fixation point by bilateral and the way using withdraw injecting bone cement have not obviouse difference in stress distribution and deformity . Conclusion the way using fixation point by bilateral and the way using withdraw injecting bone cement have not obviouse difference in vitodynamics. Key words percutaneous vertebroplasty; needle withdraw injection; puncture ; fixation point injectioin bilateral