FEM simulation of complex lumbar spinal stenosis decompression surgery.
- Author:
Qi ZHENG
1
;
Shenghui LIAO
;
Shiyuan SHI
;
Wei WEI
;
Yaosheng LIU
;
Zhen LAI
Author Information
1. Department of Orthopaedic, Red Cross Hospital of Hangzhou, Hangzhou 310003, China.
- Publication Type:Journal Article
- MeSH:
Decompression, Surgical;
methods;
Finite Element Analysis;
Humans;
Lumbar Vertebrae;
surgery;
Models, Biological;
Spinal Stenosis;
surgery
- From:
Journal of Biomedical Engineering
2013;30(1):45-51
- CountryChina
- Language:Chinese
-
Abstract:
This paper aims to establish an accurate finite element model of complete lumbar spine with complex lumbar spinal stenosis (LSS), and then to do comparison and analysis of normal model and decompression surgery model. Firstly, we chose some patients with complex LSS and then collected the CT scanned data. Then we generated a complete FE model of Lumbar with complex LSS using a specially designed modeling system, and we also created a normal lumbar model and a decompression treated model. We applied same boundary conditions in all the three models. The results showed that the active movement range of complex LSS was smaller than that of the normal model, but the movement range of the decompression model was larger than that of the normal. There are stress concentration around the endplate and disk at the degenerative intervertebral? disk L4-L5 and adjacent disk L3-L4 for LSS model, and the stress of the decompression model increased more significantly. This simulation demonstrated that the treatment of simple decompression for lumbar spine with complex LSS can release the pain, but may result in unstability and accelerate the degeneration.
