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Numerical analysis of the influence of nucleus pulposus removal on the biomechanical behavior of a lumbar motion segment

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机构: [a]Capital Medical University, School of Biomedical Engineering, Beijing 100069, P.R. China [b]Department of Neurosurgery, Xuanwu Hospital Affiliated to Capital Medical University, Beijing 100053, P.R. China [c]Beijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Capital Medical University, Beijing 100069, P.R. China
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关键词: nucleus replacement nucleus pulposus removal disc herniation finite element model biomechanics characteristics

摘要:
Nucleus replacement was deemed to have therapeutic potential for patients with intervertebral disc herniation. However, whether a patient would benefit from nucleus replacement is technically unclear. This study aimed to investigate the influence of nucleus pulposus (NP) removal on the biomechanical behavior of a lumbar motion segment and to further explore a computational method of biomechanical characteristics of NP removal, which can evaluate the mechanical stability of pulposus replacement. We, respectively, reconstructed three types of models for a mildly herniated disc and three types of models for a severely herniated disc based on a L4-L5 segment finite element model with computed tomography image data from a healthy adult. First, the NP was removed from the herniated disc models, and the biomechanical behavior of NP removal was simulated. Second, the NP cavities were filled with an experimental material (Poisson's ratio=0.3; elastic modulus=3MPa), and the biomechanical behavior of pulposus replacement was simulated. The simulations were carried out under the five loadings of axial compression, flexion, lateral bending, extension, and axial rotation. The changes of the four biomechanical characteristics, i.e. the rotation degree, the maximum stress in the annulus fibrosus (AF), joint facet contact forces, and the maximum disc deformation, were computed for all models. Experimental results showed that the rotation range, the maximum AF stress, and joint facet contact forces increased, and the maximum disc deformation decreased after NP removal, while they changed in the opposite way after the nucleus cavities were filled with the experimental material.

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出版当年[2014]版:
大类 | 3 区 工程技术
小类 | 3 区 计算机:跨学科应用 4 区 工程:生物医学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 计算机:跨学科应用 4 区 工程:生物医学
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出版当年[2013]版:
Q2 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Q2 ENGINEERING, BIOMEDICAL
最新[2023]版:
Q3 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS Q3 ENGINEERING, BIOMEDICAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2013版] 出版当年五年平均 出版前一年[2012版] 出版后一年[2014版]

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第一作者机构: [a]Capital Medical University, School of Biomedical Engineering, Beijing 100069, P.R. China [c]Beijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Capital Medical University, Beijing 100069, P.R. China
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通讯机构: [a]Capital Medical University, School of Biomedical Engineering, Beijing 100069, P.R. China [c]Beijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Capital Medical University, Beijing 100069, P.R. China
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