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A patient-specific approach to assessment of biomechanical stability following percutaneous vertebroplasty using CT images

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机构: [1]Capital Med Univ, Inst Biomed Engn, Beijing 100069, Peoples R China; [2]Beijing Neurosurg Inst, Beijing 100069, Peoples R China
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关键词: percutaneous vertebroplasty finite element model geometrical model intervention surgery

摘要:
In this paper, a biomechanical analysis method for percutaneous vertebroplasty has been presented. Integrating the anatomical structure from the spine CT images of a patient, a novel three-dimensional geometric model of lumbar functional spinal units (FSUs) has been built Based on the geometric model, two kinds of three-dimensional finite element models (FEM) of L1-L2 segments for preoperative and postoperative vertebrae are created. A numerical calculation method on FEM for biomechanical analysis has been developed, while a boundary condition describing the relative L1-L2 displacement is imposed on the FEM to account for three-dimensional physiological states. The simulating calculation can reveal the stress and strain distribution and deformation of the preoperative and postoperative vertebrae. Our method attempts to provide new biomechanical evidence and a fresh perspective into how the procedure can he implemented more effectively toward the goal of preventing osteoporosis-related fractures. The FEM win provide a promising tool in clinical diagnosis and optimizing individual therapy in osteoporosis-related fractures. It is proved that the method is valid for the consistency of the patient's clinical observation after vertebroplasty with the FEM results in our research.

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第一作者机构: [1]Capital Med Univ, Inst Biomed Engn, Beijing 100069, Peoples R China;
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通讯机构: [1]Capital Med Univ, Inst Biomed Engn, Beijing 100069, Peoples R China;
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