生命科学——胸腰段脊柱矫正螺钉头部最优直径的确定.pdfVIP

胸腰段脊柱矫正螺钉头部最优直径的确定 1 1 1 2 2 丁咚 鲍益东 李国梁 许斌 徐海栋 1南京航空航天大学机电学院 2南京军区总医院 摘要：腰椎间盘突出症多发于青壮年体力劳动者，是临床上的常见病和多发病，随着对其研究的日渐深入，有关固 定螺钉接触面的优化问题对有效解决脊柱问题有着重要意义。在传统6螺钉接触式胸腰段脊柱固定方式前提下，通过 改变螺钉头部环面与脊柱的接触面面积，模拟计算脊柱与螺钉头部环面的接触应力，得到不同的模拟分析结果，结合 数学软件MATLAB ，拟合接触面积—接触应力曲线，分析曲线变化规律，确定最优接触面积，得到最佳螺钉头部直径， 提高脊柱矫正性能强度，从而给临床脊柱矫正螺钉的结构设计提供一定的理论依据。 关键词：有限元分析，胸腰段脊柱；固定螺钉；最优接触面积 The optimal diameter of screw head torus for the thoracolumbar spine correction Ding Dong Bao Yidong Li Guoliang Xu Bin Xu Haidong Nanjing University of Aeronautics and Astronautics Nanjing General Hospital [ABSTRACT] The protrusion of Lumbar intervertebral, it happened mainly in young adults, occur frequently in clinical practice, with the deepening of its research, the optimization problem of the contact surface of the fixed screw is very important to solve the problem of the spine column. Based on the traditional six screw fixation of thoracolumbar spine, change the contact area of the screw head torus and the spine, simulate and calculate of the contact stress between the spine and the screw head torus, different simulation results are obtained, combined with mathematical software of MATLAB, fitting the curve about the contact area and the contact stress. Analysis the law of the curve ’s variation, determine the optimal contact area, get the best screw head torus diameter, improve the strength of spinal correction, to provide theoretical basis for the structural design of the screws of clinical spine correction. Keywords: finite element analysis; thoracolumbar spine; screw fixation; optimal contact area 近