人工颈椎间盘置换术对邻近节段生物力学影响的三维有限元分析(1).pdfVIP

1 7 7 Vol17, No7 2 0 0 9 4 Orthopedic Journalof China Apr2009 asic Research * 李志远, 申 勇 , 张英泽, 王林峰, 刘艳兵, 武 刚, 张宇宸, 任 虎 (, 050051) [ ] ( C4~ 7 ) , , [] 1 CT, C4~ 7, () 2 N m 10 N m , , , [] , , , [] , , , : ; ; ; : R31801 : A : 1005- 8478 ( 2009) 07- 0523- 03 Biomechanical effects of placement of a discprosthesis and adjacent vertebral bodies! LI Zhi- yuan, SHEN Yong, ZHAN G Ying - ze, et alDepartm ent of Orthopaedic Surgery in the hird H osp ital of H ebeiM ed ical Un iversity, Shij iazhuang 050051, China Abstract: [Objective] To present a validated wt o- functional spinalunit C4~7 finite elementmodelw ith smi ulated placement of a disc prosthesis treatment to predict stresses and strains w ithin adjacent vertebal bodies [Methods] Tw o finite elementmodels of C4~ 7 w ere generated using the CT scans taken from amale patient follow ing placement of a disc prosthesis treatment, which were in cluded w ith adjacent bodies, intervertebraldiscs Smi ulationsw ere conducted mi posing a compression preload combined to a flexion/ extensionmoment, a pure lateral bending moment and a pure torsionmoment, and to quantify the stress levels in intervertebraldiscs, endplate, cancellous bone, corticalbone and adjacent bodies follow ing placement of a disc prosthesisunder clinically relevant loading conditions [Results] The ryanTM disc prosthesis allows to correctly reproduce a physiologicalmotion at the mi planted leve,l and the changes in stresses and strains in levels adjacent to a placementof a disc prosthesis treatment levelwereminmi al [Conc