下颈椎前路椎弓根螺钉固定系统的有限元建模及研究-finite element modeling and research of anterior pedicle screw fixation system for lower cervical spine.docx

万方数据 万方数据 下颈椎前路椎弓螺钉固定系统的有限元建模及分析 3-dimensional finite-element study on anterior transpedicular screw fixation system of the subaxial cervical spine Abstract Objective Using 3-dimensional finite-element analysis to compare the biomechanical properties of models reconstructed by the anterior cervical pedicle screw fixation system (Anterior Cervical Transpedicular Screw, ACTPS) and the cervical anterior screw plate system (Anterior Cervical Locked-plate, ACLP) after 2 levels corpectomy, and provide a theoretical evidence for clinical application. Methods CT data (C 1-T 1) was collected from a 28 years old male volunteer.The 3- dimensional nonlinear subaxial cervical (C3-C7) intact model was established and analyzed by Mimics 11.0, Rapidform XOR3, Hypermesh10.0, CATIA5V19, ANSYS 14.0 softwares. The axial force of 75N and moment couple of 1N·m was loaded on the upper surface of C3, made the model movement in flexion extension, lateral bending, rotating direction,respectively .Then,recorded the range of motion (ROM) ,and compared the results with the in vitro biomechanical experimental data of Panjabi and Moroney. ACTPS and ACLP internal fixation model were established .The ROM of the two models were calculated by ANSYS software. The Von Mises stress distribution and maximum stress value of ACTPS group and ACLP group were recorded and analyzed ,to compare the ROM of the two internal fixation models with intact model. Results There were 85,832 elements and 23,612 nodes in the intact model of subaxial cervical spine (C3-C7) be established in this experiment, and the ROM of intact model validated with the reported cadaveric experimental data of Panjabi and Moroney. In ACTPS model group, the stress was been well-distributed relatively, but in ACLP model group, the stress concentrated on the interface between screw and the titanium plate. There were obvious differences of the maximum stress value of the two groups. The ROM of ACTPS group of fixed segments was smaller than ACL