Optimization of Spondylosynthesis for Certain Thoracolumbar Burst Fractures
| Autor: | V.V. Zaretskov, S.V. Likhachev, A.E. Shulga, A V Dol, A.V. Zaretskov, Dmitriy V. Ivanov, V V Ostrovskiy, Anna M. Donnik, V.B. Arsenievich |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Fixation stability
musculoskeletal diseases Computer science finite element method intermediate transpedicular fixation General Biochemistry Genetics and Molecular Biology Thoracic Vertebrae Fixation (surgical) Fracture Fixation Internal spine trauma Humans Displacement (orthopedic surgery) Orthodontics thoracolumbar transitional vertebra Lumbar Vertebrae Clinical Supplements Thoracolumbar spine General Medicine musculoskeletal system anterior column support Treatment Outcome Mechanical stability Ansys software Spinal Fractures Implant Transpedicular fixation |
| Zdroj: | Modern Technologies in Medicine |
| ISSN: | 2309-995X 2076-4243 |
| Popis: | Intermediate transpedicular fixation, i.e. additional insertion of transpedicular screws into the injured vertebrae, is an improvement to the most popular surgical intervention for spinal injuries, currently gaining widespread use in clinical practice. Unilateral insertion of transpedicular screws into the injured vertebrae allows combining the advantages of intermediate transpedicular fixation with the possibility to perform anterior column support without remounting the transpedicular system. The aim of the study was to use biomechanical computer modeling for evaluating the stability of intermediate transpedicular fixation components, which allow performing anterior column support if necessary. Materials and methods DICOM files obtained during CT scan of a patient with intermediate thoracolumbar spine injury and the ANSYS software were used. Stability of the transpedicular system and supportability of the complementary Mesh implant installed with unilateral intermediate transpedicular screws were evaluated using computer modeling based on the finite element method. Results The values of stress and displacement fields for spine-hardware systems with various arrangements have been obtained. The maximum loads exceeding bone tissue strength (153-161 MPa) were registered for standard 4-screw system (190 MPa) when modeling the load equivalent for walking and falling from a standing position. The use of the proposed fixation system arrangement supplemented with intermediate screws allows obtaining loads in the spine-hardware system not exceeding these thresholds. Complementary eccentric Mesh implant enhances fixation stability of the transpedicular system with intermediate screws. Conclusion The results show the high degree of mechanical stability of the proposed hardware arrangement and its potential efficacy for thoracolumbar transitional vertebra stabilization. |
| Databáze: | OpenAIRE |
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