Journal of Chongqing Medical UniversityVol. 43, Issue 1, Pages: 130(2018)
作者机构:
1. 重庆医科大学附属第二医院骨科,重庆,400010
2. 重庆大学生物工程学院生物材料与仿生工程研究中心,重庆,400030
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Published:2018,
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Luo Shuaihong, Deng Zhongliang, Tian Dongdong, et al. Biomechanical evaluation of absorbable shape memory polyurethane lumbar interbody fusion cage. [J]. Journal of Chongqing Medical University 43(1):130(2018)
DOI:
Luo Shuaihong, Deng Zhongliang, Tian Dongdong, et al. Biomechanical evaluation of absorbable shape memory polyurethane lumbar interbody fusion cage. [J]. Journal of Chongqing Medical University 43(1):130(2018)DOI:
Objective:To evaluate the biomechanical properties of the self-designed absorbable lumbar interbody fusion cage in a sin-gle-level of cadaveric lumbar spine. Methods:Fifteen lumbosacral(L1-S1) specimens were randomly divided into three groups:auto-genous iliac bone group(n=5),shape memory polyurethane(SMPU) cage group(n=5),polyetheretherketone(PEEK) cage group(n=5). Three different intervertebral implants were implanted by lateral lumbar interbody fusion after complete discectomy(L3-4) was per-formed. The axial failure load and ROM between preoperation and postoperation were tested by a mechanical testing machine. Results:The ROM showed that there was no observed statistical difference in the preoperative ROM of all directions among three groups(P>0.05). In the autogenous iliac bone group,the ROM in all directions of postoperation was significantly higher than that of preoperation(P<0.05). In the SMPU cage group,the ROM in all directions of postoperation was significantly lower than that of preop-eration(P<0.05). In the PEEK cage group,the ROM in all directions of postoperation was significantly lower than that of preoperation(P<0.05). The postoperative ROM of all directions was significantly lower in SMPU cage group and PEEK cage group than autoge-nous iliac bone group(P<0.05). There was no observed statistical difference in the postoperative ROM of all directions between SMPU cage group and PEEK cage group(P>0.05). In axial compression testing,the failure load of PEEK cage group was significantly higher than that of SMPU cage group and autogenous iliac bone group(P=0.000),and the failure load of SMPU cage group was significantly higher than that of autogenous iliac bone group(P=0.000). Conclusion:SMPU cage can meet initial stability and bear the lumbar physiological load for lumbar interbody fusion.