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神经外科首都医科大学宣武医院[c]Beijing Key Laboratory of Fundamental Research on Biomechanics in Clinical Application, Capital Medical University, Beijing 100069, P.R. China
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.
基金:
the National Natural Science Foundation of China (Grant No. 30670576 and Grant No.81271519),
the Beijing Natural Science Foundation (Grant No.4122018),
the Natural Science Foundation of the Capital Medical University (Grant No. 2013ZR12),
Clinical Cooperative Research Program of Capital Medical University (Grant No.14JL17).
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
共同第一作者:
通讯作者:
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
推荐引用方式(GB/T 7714):
Juying Huang,Huagang Yana ,Fengzeng Jian,et al.Numerical analysis of the influence of nucleus pulposus removal on the biomechanical behavior of a lumbar motion segment[J].COMPUTER METHODS IN BIOMECHANICS AND BIOMEDICAL ENGINEERING.2015,18(14):1516-1524.doi:10.1080/10255842.2014.921815.
APA:
Juying Huang,Huagang Yana,,Fengzeng Jian,Xingwen Wang&Haiyun Li.(2015).Numerical analysis of the influence of nucleus pulposus removal on the biomechanical behavior of a lumbar motion segment.COMPUTER METHODS IN BIOMECHANICS AND BIOMEDICAL ENGINEERING,18,(14)
MLA:
Juying Huang,et al."Numerical analysis of the influence of nucleus pulposus removal on the biomechanical behavior of a lumbar motion segment".COMPUTER METHODS IN BIOMECHANICS AND BIOMEDICAL ENGINEERING 18..14(2015):1516-1524