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Biomechanical effects of over lordotic curvature after spinal fusion on adjacent intervertebral discs under continuous compressive load.

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机构: [a]Key Laboratory for Biomechanics and Mechanobiology of the Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing 100083, China [b]Beijing Advanced Innovation Centre for Biomedical Engineering, Beihang University, Beijing 102402, China [c]School of Public Health, Nanjing Medical University, Nanjing 211166, China [d]Beijing Medical Implant Engineering Research Centre, Naton Science and Technology Group, Beijing 10082, China [e]Capital Medical University XuanWu Hospital, Xicheng District, Beijing 100053, China
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To investigate the effects of over-lordotic curvature after lumbar fusion on the stress and deformations of the adjacent intervertebral discs under constant compressive loads. Two-level ovine specimens-including three vertebral bodies with two discs-were divided into two groups: Group A (to observe external deformation) and Group B (to observe internal stress and deformations of the discs). Each group consisted of three models: a) intact model, b) increased stiffness + unchanged curvature fusion model, and c) increased stiffness + curvature fusion model. Models were tested at a vertebral pressure of 0.4 MPa for 30 min. Creep deformations and stress distributions in the superior adjacent intervertebral discs were analysed using finite element models. Stiffness angle of the curvature model was increased by 5° and compared with the intact and stiffness models. In Group A, there was no significant deformation in the superior and adjacent intervertebral discs (P > 0.05), whereas creep deformations of the Group B discs increased significantly. Maximum deformations, with increases of approximately 3.7-fold and 2.8-fold in the vertical and horizontal directions, respectively, occurred at the anterior annulus fibrosus. The vertical and sagittal stress concentrations at the anterior annulus fibrosus had maximum differences of 1.0 MPa and 1.2 MPa, respectively. Under a continuous compressive load, over-lordotic fusion significantly increases the stress and deformation gradient of the nucleus polposus and annulus fibrosus in the superior, adjacent intervertebral disc, increasing the risk of damage and secondary degeneration of these discs when subjected to daily static loads. Copyright © 2020 Elsevier Ltd. All rights reserved.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 3 区 运动科学 4 区 工程:生物医学 4 区 骨科
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 工程:生物医学 4 区 骨科 4 区 运动科学
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出版当年[2018]版:
Q2 ORTHOPEDICS Q2 SPORT SCIENCES Q3 ENGINEERING, BIOMEDICAL
最新[2024]版:
Q3 ORTHOPEDICS Q3 SPORT SCIENCES Q4 ENGINEERING, BIOMEDICAL

影响因子: 最新[2024版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者机构: [a]Key Laboratory for Biomechanics and Mechanobiology of the Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing 100083, China [b]Beijing Advanced Innovation Centre for Biomedical Engineering, Beihang University, Beijing 102402, China
通讯作者:
通讯机构: [a]Key Laboratory for Biomechanics and Mechanobiology of the Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing 100083, China [b]Beijing Advanced Innovation Centre for Biomedical Engineering, Beihang University, Beijing 102402, China [*1]Key Laboratory for Biomechanics and Mechanobiology of the Ministry of Education, School of Biological Science and Medical Engineering, Beihang University, Beijing 100083, China.
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