Finite element analysis on intra-segmental fixation and inter-segmental fixation for lumbar spondylolysis
- VernacularTitle:单椎节与单节段内固定治疗腰椎椎弓峡部裂的有限元分析
- Author:
Xiao min GU
1
;
Lian shun JIA
2
;
Xiong sheng CHEN
2
;
Cheng lin LU
3
;
Yang LIU
2
;
Dong sheng ZHANG
3
Author Information
1. Department of Orthopedics, Affiliated Hospital of Hangzhou Normal University
2. Department of Orthopedics, Changzheng Hospital, Second Military Medical University
3. Shanghai Institute of Applied Mathematics and Mechanics
- Publication Type:Journal Article
- Keywords:
Lumbar spondylolysis;
Finite element analysis;
Internal fixation;
Reconstruction;
Stress distribution;
Biomechanics
- From:
Journal of Medical Biomechanics
2011;26(1):E063-E068
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the stresses on the end plate of adjacent lumbar vertebrae between intra-segmental fixation and inter-segmental fixation in treating lumbar spondylolysis by three-dimensional finite element analysis. Method Based on the established finite element model of L4 lumbar spondylolysis, the lumbar internal fixation such as rods and trans-pedicle screws were reconstructed to make the finite element models of intra segmental and inter segmental internal fixation with the same constraint and loading conditions. The stresses on endplate of adjacent lumbar vertebrae of finite element models were measured under three mechanical conditions:spondylolysis, intra-segmental fixation and inter-segmental fixation. Results High stresses were observed under two kinds of internal fixation conditions compared with the spondylolysis condition at the lower endplate of L4 under axial loading(P<0.05). The stresses at the lower endplate of L4 under intra segmental fixation condition were similar as that of the spondylolysis condition under flexion, extension and lateral bending loading. With the same loading, higher stresses were observed under inter-segmental fixation condition compared with the spondylolysis condition, and so did the lower stresses at upper endplate of S1(P<0.05). The lower stresses at the upper endplate of S1 under intra-segmental fixation condition were observed compared with the other two conditions under rotating loading (P<0.05). Conclusions The intra segmental fixation can not only provide stability for lumbar spondylolysis under axial, flexion, extension, lateral bending,but also preserve the normal activity at adjacent disc levels, especially under rotating loading.
