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author:

Zhang, Shuyi (Zhang, Shuyi.) [1] | Liu, Zhengpeng (Liu, Zhengpeng.) [2] | Lu, Chenshui (Lu, Chenshui.) [3] | Zhao, Li (Zhao, Li.) [4] | Feng, Chao (Feng, Chao.) [5] | Wang, Yahui (Wang, Yahui.) [6] | Zhang, Yilong (Zhang, Yilong.) [7]

Indexed by:

Scopus SCIE

Abstract:

Background Little is known about the biomechanical performance of different internal fixations in oblique lumbar interbody fusion (OLIF). Here, finite element (FE) analysis was used to describe the biomechanics of various internal fixations and compare and explore the stability of each fixation. Methods CT scans of a patient with lumbar degenerative disease were performed, and the l3-S1 model was constructed using relevant software. The other five FE models were constructed by simulating the model operation and adding different related implants, including (1) an intact model, (2) a stand-alone (SA) model with no instrument, (3) a unilateral pedicle screw model (UPS), (4) a unilateral pedicle screw contralateral translaminar facet screw model (UPS-CTFS), (5) a bilateral pedicle screw (BPS) model, and (6) a cortical bone trajectory screw model (CBT). Various motion loads were set by FE software to simulate lumbar vertebral activity. The software was also used to extract the range of motion (ROM) of the surgical segment, CAGE and fixation stress in the different models. Results The SA group had the greatest ROM and CAGE stress. The ROM of the BPS and UPS-CTFS was not significantly different among motion loadings. Compared with the other three models, the BPS model had lower internal fixation stress among loading conditions, and the CBT screw internal fixation had the highest stress among loads. Conclusions The BPS model provided the best biomechanical stability for OLIF. The SA model was relatively less stable. The UPS-CTFS group had reduced ROM in the fusion segments, but the stresses on the internal fixation and CAGE were relatively higher in the than in the BPS group; the CBT group had a lower flexion and extension ROM and higher rotation and lateral flexion ROM than the BPS group. The stability of the CBT group was poorer than that of the BPS and LPS-CTFS groups. The CAGE and internal fixation stress was greater in the CBT group.

Keyword:

Biomechanical Degenerative Lumbar Spine Disease Finite Element Analysis Internal Fixations Oblique Lateral Interbody Fusion

Community:

  • [ 1 ] [Zhang, Shuyi]Chengde Med Coll, Dept Spine Surg, Affiliated Hosp, Chengde 067000, Hebei, Peoples R China
  • [ 2 ] [Liu, Zhengpeng]Chengde Med Coll, Dept Spine Surg, Affiliated Hosp, Chengde 067000, Hebei, Peoples R China
  • [ 3 ] [Wang, Yahui]Chengde Med Coll, Dept Spine Surg, Affiliated Hosp, Chengde 067000, Hebei, Peoples R China
  • [ 4 ] [Zhang, Yilong]Chengde Med Coll, Dept Spine Surg, Affiliated Hosp, Chengde 067000, Hebei, Peoples R China
  • [ 5 ] [Lu, Chenshui]Fuzhou Univ, Sch Foreign Languages, Fuzhou 350100, Fujian, Peoples R China
  • [ 6 ] [Zhao, Li]Southern Med Univ, Dept Cardiovasc Surg, Nanfang Hosp, Guangzhou 510000, Guangdong, Peoples R China
  • [ 7 ] [Feng, Chao]Chengde Cent Hosp, Dept Orthoped, Chengde 067000, Hebei, Peoples R China

Reprint 's Address:

  • [Zhang, Yilong]Chengde Med Coll, Dept Spine Surg, Affiliated Hosp, Chengde 067000, Hebei, Peoples R China

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Source :

BMC MUSCULOSKELETAL DISORDERS

ISSN: 1471-2474

Year: 2022

Issue: 1

Volume: 23

2 . 3

JCR@2022

2 . 2 0 0

JCR@2023

ESI Discipline: CLINICAL MEDICINE;

ESI HC Threshold:52

JCR Journal Grade:2

CAS Journal Grade:4

Cited Count:

WoS CC Cited Count: 8

SCOPUS Cited Count: 10

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 1

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