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Biomechanical Analysis of Porous Additive Manufactured Cages for Lateral Lumbar Interbody Fusion: A Finite Element Analysis.

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机构： [1]Department of Mechanical Engineering, Tsinghua University, Beijing [2]Biomechanics and Biotechnology Lab, Research Institute of Tsinghua University in Shenzhen, Shenzhen [3]Naton Science and Technology Group, Beijing, China [4]Spine Pain Begone Clinic, San Antonio, TX, USA

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A porous additive manufactured (AM) cage may provide stability similar to that of traditional solid cages and may be beneficial to bone ingrowth. The biomechanical influence of various porous cages on stability, subsidence, stresses in cage, and facet contact force has not been fully described. The purpose of this study was to verify biomechanical effects of porous AM cages. The surgical finite element models with various cages were constructed. The partially porous titanium (PPT) cages and fully porous titanium (FPT) cages were applied. The mechanical parameters of porous materials were obtained by mechanical test. Then the porous AM cages were compared with solid titanium (TI) cage and solid polyetheretherketone (PEEK) cage. The 4 motion modes were simulated. Range of motion (ROM), cage stress, end plate stress, and facet joint force (FJF) were compared. For all the surgical models, ROM decreased by >90%. Compared with TI and PPT cages, PEEK and FPT cages substantially reduced the maximum stresses in cage and end plate in all motion modes. Compared with PEEK cages, the stresses in cage and end plate for FPT cages decreased, whereas the ROM increased. Comparing FPT cages, the stresses in cage and end plate decreased with increasing porosity, whereas ROM increased with increasing porosity. After interbody fusion, FJF was substantially reduced in all motion modes except for flexion. Fully porous cages may offer an alternative to solid PEEK cages in lateral lumbar interbody fusion. However, it may be prudent to further increase the porosity of the cage. Copyright © 2017 Elsevier Inc. All rights reserved.

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出版当年[2017]版：

大类 | 3 区医学

小类 | 3 区临床神经病学 3 区外科

最新[2023]版：

大类 | 4 区医学

小类 | 4 区临床神经病学 4 区外科

第一作者：

第一作者机构： [1]Department of Mechanical Engineering, Tsinghua University, Beijing [2]Biomechanics and Biotechnology Lab, Research Institute of Tsinghua University in Shenzhen, Shenzhen

通讯作者：

通讯机构： [1]Department of Mechanical Engineering, Tsinghua University, Beijing [2]Biomechanics and Biotechnology Lab, Research Institute of Tsinghua University in Shenzhen, Shenzhen

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