Fang Yafeng,Wu Weidong,Zhang Jinyuan,Qian Lei,Li Peng,Sun Peidong,Ouyang Jun.Effects of pedicle-lengthening osteotomy site on lumbar stability: a finite element analysis[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(22):2321-2326.
Fang Yafeng,Wu Weidong,Zhang Jinyuan,Qian Lei,Li Peng,Sun Peidong,Ouyang Jun.Effects of pedicle-lengthening osteotomy site on lumbar stability: a finite element analysis[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(22):2321-2326.DOI:
Effects of pedicle-lengthening osteotomy site on lumbar stability: a finite element analysis
Objective To compare the biomechanical properties of the anterior osteotomy of pedicle (AP) and posterior osteotomy of pedicle (PP) by finite element analysis
and to explore the effects of the pedicle-lengthening osteotomy site on lumbar stability. Methods CT images were obtained from a 28-year-old female volunteer
and then the inta
ct L
2
-L
5
AP
and PP models were established and analyzed with Mimics 14.0
Geomagic Studio 2013
and ANSYS 14.0 software. The axial force of 400 N and moment couple of 10 N·m were loaded on the upper surface of L
2
to simulate the flexion
extension
lateral bending
and rotation behaviors of the lumbar spine. The Von Mises stress distribution regularity of internal fixators and the maximum equivalent stress were evaluated
and the range of motion (ROM) were also analyzed. Results The intact model of lumbar spine (L
2
-L
5
) was established
and it was validated with the previously reported cadaveric experimental data from Yamamoto and Liu successfully. The stress was concentrated at the connection portion between plate and screw in the AP group
while it was distributed evenly in the PP group. Between the AP group and the PP group
there was significant difference in stress values under flexion
lateral bending and rotation conditions. Compared with the intact group
the change scope of ROM of L
4
-L
5
segment and L
3
-L
4
segment in the PP group was smaller than that in the AP group
and there was no significant difference in the ROM of L
2
-L
3
segment between the two groups. Compared with the intact model
the whole ROM of the lumbar spine increased about 1° in the AP group and the PP group. Conclusion As a new alternative method
PP provides better stability and lower influence on adjacent segment than AP.