Chinese Journal of Tissue Engineering Research ›› 2021, Vol. 25 ›› Issue (30): 4767-4773.doi: 10.12307/2021.259
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Qin Yichuan1, 2, Zhao Bin1, Yuan Jie1, Xu Chaojian1, Lü Jie1, 2, Hao Jiaqi1, 2, Wang Yongfeng1
Received:
2021-01-04
Revised:
2021-01-06
Accepted:
2021-02-18
Online:
2021-10-28
Published:
2021-07-29
Contact:
Wang Yongfeng, MD, Chief physician, Master’s supervisor, Department of Orthopedics, Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
About author:
Qin Yichuan, Master candidate, Department of Orthopedics, Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China; Shanxi Medical University, Taiyuan 030001, Shanxi Province, China
Supported by:
CLC Number:
Qin Yichuan, Zhao Bin, Yuan Jie, Xu Chaojian, Lü Jie Hao Jiaqi Wang Yongfeng. Effects of internal fixation types and osteoporosis on oblique lateral interbody fusion: three-dimensional finite element analysis[J]. Chinese Journal of Tissue Engineering Research, 2021, 25(30): 4767-4773.
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2.2 各运动状态下L4-L5节段腰椎相对活动度 随着后路内固定的增加,手术节段的活动度总体上呈下降趋势。正常模型中,相比M0,M1模型的L4-5活动度在各运动状态下均明显下降,最大降低了87.85%,为左侧弯时;M2的L4-5活动度在M1的基础上再次减小,后伸时减少最多,为40.01%;M3的L4-5活动度相比M2进一步下降,最多为前屈时的64.56%。骨质疏松模型中的情况类似,相比N0,N1的L4-5活动度均下降,最大降幅为左侧弯时的84.41%;相比于N1,N2的L4-5活动度在各运动状态均下降,在后伸时出现最大降幅,为42.10%;与N2比较,N3的L4-5活动度均降低,前屈时同样出现最大降幅,为64.78%(图3)。 同种后路内固定下,骨质疏松模型的L4-5活动度均比正常模型大;N1相比M1最大升高了46.58%,N2相比M2最大升高了41.19%,N3相比M3最大升高了55.36%(图3)。 "
2.4 各运动状态下融合器应力峰值 随着后路内固定的增加,融合器应力呈现下降趋势。正常模型中,M2融合器的应力峰值相比于M1在各种运动状态下均明显减小,其中后伸时降幅达到了54.95%,前屈时降幅为38.30%;与M2相比,M3融合器的应力峰值在各种运动状态下均减小,尤以前屈及后伸为甚,其中后伸时降幅达到了30.68%,前屈时降幅为16.83%。骨质疏松模型中,N2相比于N1在各种运动状态下的融合器应力峰值均减小,在后伸时降幅最大,为57.69%,前屈状态下为33.56%;与N2相比,N3在各种运动状态下的融合器应力峰值均减小,在右旋转时降幅最大,为21.09%,后伸时为16.73%,见图6。"
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