scholarly journals Effect of Graded Facetectomy on Lumbar Biomechanics

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Zhi-li Zeng ◽  
Rui Zhu ◽  
Yang-chun Wu ◽  
Wei Zuo ◽  
Yan Yu ◽  
...  
Keyword(s):  
Facet Joint ◽  
Three Dimensional ◽  
Element Model ◽  
Axial Rotation ◽  
Point Of View ◽  
Spinal Instability ◽  
Flexion Extension ◽  
Biomechanical Effect ◽  
Von Mises ◽  
The Right

Facetectomy is an important intervention for spinal stenosis but may lead to spinal instability. Biomechanical knowledge for facetectomy can be beneficial when deciding whether fusion is necessary. Therefore, the aim of this study was to investigate the biomechanical effect of different grades of facetectomy. A three-dimensional nonlinear finite element model of L3–L5 was constructed. The mobility of the model and the intradiscal pressure (IDP) of L4-L5 for standing were inside the data from the literature. The effect of graded facetectomy on intervertebral rotation, IDP, facet joint forces, and maximum von Mises equivalent stresses in the annuli was analyzed under flexion, extension, left/right lateral bending, and left/right axial rotation. Compared with the intact model, under extension, unilateral facetectomy increased the range of intervertebral rotation (IVR) by 11.7% and IDP by 10.7%, while the bilateral facetectomy increased IVR by 40.7% and IDP by 23.6%. Under axial rotation, the unilateral facetectomy and the bilateral facetectomy increased the IVR by 101.3% and 354.3%, respectively, when turned to the right and by 1.1% and 265.3%, respectively, when turned to the left. The results conclude that, after unilateral and bilateral facetectomy, care must be taken when placing the spine into extension and axial rotation posture from the biomechanical point of view.

scholarly journals Biomechanical Analysis of Allograft Spacer Failure as a Function of Cortical-Cancellous Ratio in Anterior Cervical Discectomy/Fusion: Allograft Spacer Alone Model

2020 ◽  
Vol 10 (18) ◽  
pp. 6413
Author(s):  
Ji-Won Kwon ◽  
Hwan-Mo Lee ◽  
Tae-Hyun Park ◽  
Sung Jae Lee ◽  
Young-Woo Kwon ◽  
...  
Keyword(s):  
Three Dimensional ◽  
Element Model ◽  
Axial Rotation ◽  
Biomechanical Analysis ◽  
Flexion Extension ◽  
Hybrid Motion ◽  
Anterior Cervical Discectomy Fusion ◽  
Flexion And Extension ◽  
Additional Fixation ◽  
Lateral Walls

The design and ratio of the cortico-cancellous composition of allograft spacers are associated with graft-related problems, including subsidence and allograft spacer failure. Methods: The study analyzed stress distribution and risk of subsidence according to three types (cortical only, cortical cancellous, cortical lateral walls with a cancellous center bone) and three lengths (11, 12, 14 mm) of allograft spacers under the condition of hybrid motion control, including flexion, extension, axial rotation, and lateral bending,. A detailed finite element model of a previously validated, three-dimensional, intact C3–7 segment, with C5–6 segmental fusion using allograft spacers without fixation, was used in the present study. Findings: Among the three types of cervical allograft spacers evaluated, cortical lateral walls with a cancellous center bone exhibited the highest stress on the cortical bone of spacers, as well as the endplate around the posterior margin of the spacers. The likelihood of allograft spacer failure was highest for 14 mm spacers composed of cortical lateral walls with a cancellous center bone upon flexion (PVMS, 270.0 MPa; 250.2%) and extension (PVMS: 371.40 MPa, 344.2%). The likelihood of allograft spacer subsidence was also highest for the same spacers upon flexion (PVMS, 4.58 MPa; 28.1%) and extension (PVMS: 12.71 MPa, 78.0%). Conclusion: Cervical spacers with a smaller cortical component and of longer length can be risk factors for allograft spacer failure and subsidence, especially in flexion and extension. However, further study of additional fixation methods, such as anterior plates/screws and posterior screws, in an actual clinical setting is necessary.

scholarly journals Finite element analysis of wedge and biconcave deformity in four different height restoration after augmentation of osteoporotic vertebral compression fracture

2020 ◽  
Author(s):  
Xiao-Hua Zuo ◽  
Ying-Bing Chen ◽  
Peng Xie ◽  
Wen-Dong Zhang ◽  
Xiang-Yun Xue ◽  
...  
Keyword(s):  
Finite Element ◽  
Three Dimensional ◽  
Axial Rotation ◽  
Neutral Position ◽  
Element Analysis ◽  
Flexion Extension ◽  
Dimensional Finite Element ◽  
Von Mises ◽  
Three Dimensional Finite Element ◽  
Wedge Fracture

Abstract Purpose Biomechanical comparison of wedge and biconcave deformity of different height restoration after augmentation of osteoporotic vertebral compression fractures was analyzed by three-dimensional finite element analysis (FEA). Methods Three-dimensional finite element model (FEM) of T11-L2 segment was constructed from CT scan of elderly osteoporosis patient. The von Mises stresses of vertebrae, intervertebral disc, facet joints, displacement, and range of motion (ROM) of wedge and biconcave deformity were compared at four different heights (Genant 0–3 grade) after T12 vertebral augmentation. Results In wedge deformity, the stress of T12 decreased as the vertebral height in neutral position, flexion, extension and left axial rotation, whereas increased sharply in bending at Genant 0; L1 and L2 decreased in all positions excluding flexion of L2, and T11 increased in neutral position, flexion, extension, and right axial rotation at Genant 0. No significant changes in biconcave deformity. The stress of T11-T12, T12-L1, and L1-L2 intervertebral disc gradually increased or decreased under other positions in wedge fracture, whereas L1-L2 no significant change in biconcave fracture. The utmost overall facet joint stress is at Genant 3, whereas there is no significant change under the same position in biconcave fracture. The displacement and ROM of the wedge fracture had ups and downs, while a decline in all positions excluding extension in biconcave fracture. Conclusions The vertebral restoration height after augmentation to Genant 0 affects the von Mises stress, displacement, and ROM in wedge deformity, which may increase the risk of fracture; Whereas restored or not in biconcave deformity.

scholarly journals Finite element analysis of wedge and biconcave deformity in four different height restoration after augmentation of osteoporotic vertebral compression fractures

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Xiao-Hua Zuo ◽  
Yin-Bing Chen ◽  
Peng Xie ◽  
Wen-Dong Zhang ◽  
Xiang-Yun Xue ◽  
...  
Keyword(s):  
Finite Element ◽  
Three Dimensional ◽  
Axial Rotation ◽  
Vertebral Compression Fractures ◽  
Neutral Position ◽  
Element Analysis ◽  
Flexion Extension ◽  
Dimensional Finite Element ◽  
Von Mises ◽  
Three Dimensional Finite Element

Abstract Purpose Biomechanical comparison of wedge and biconcave deformity of different height restoration after augmentation of osteoporotic vertebral compression fractures was analyzed by three-dimensional finite element analysis (FEA). Methods Three-dimensional finite element model (FEM) of T11-L2 segment was constructed from CT scan of elderly osteoporosis patient. The von Mises stresses of vertebrae, intervertebral disc, facet joints, displacement, and range of motion (ROM) of wedge and biconcave deformity were compared at four different heights (Genant 0–3 grade) after T12 vertebral augmentation. Results In wedge deformity, the stress of T12 decreased as the vertebral height in neutral position, flexion, extension, and left axial rotation, whereas increased sharply in bending at Genant 0; L1 and L2 decreased in all positions excluding flexion of L2, and T11 increased in neutral position, flexion, extension, and right axial rotation at Genant 0. No significant changes in biconcave deformity. The stress of T11-T12, T12-L1, and L1-L2 intervertebral disc gradually increased or decreased under other positions in wedge fracture, whereas L1-L2 no significant change in biconcave fracture. The utmost overall facet joint stress is at Genant 3, whereas there is no significant change under the same position in biconcave fracture. The displacement and ROM of the wedge fracture had ups and downs, while a decline in all positions excluding extension in biconcave fracture. Conclusions The vertebral restoration height after augmentation to Genant 0 affects the von Mises stress, displacement, and ROM in wedge deformity, which may increase the risk of fracture, whereas restored or not in biconcave deformity.

scholarly journals Influence of Carrying Unstable Load on Thoracic Kinematics While Walking on a Curved Path

2021 ◽  
Vol 2071 (1) ◽  
pp. 012013
Author(s):  
D K Ngoc ◽  
A F Salleh ◽  
M S Salim ◽  
N Omar ◽  
K S Basarrudin ◽  
...  
Keyword(s):  
Sagittal Plane ◽  
Three Dimensional ◽  
Frontal Plane ◽  
Axial Rotation ◽  
Heel Strike ◽  
Virtual Lab ◽  
Flexion Extension ◽  
Spinal Kinematics ◽  
Load Intensity ◽  
The Right

Abstract This study investigated the effect of carrying unstable load on thoracic kinematics while walking on a curved path. Three-dimensional spinal kinematics were defined as the rotations between thoracic and the Virtual laboratory coordinate system (Tho/Virtual lab) which consisted of lateral bending (LB), flexion/extension (FE) and axial rotation (AR) in the frontal plane, sagittal plane and transverse plane, respectively. Eight healthy young adults (4 males and 4 females) performed loads carrying and walking on one meter radius curved path. Spinal kinematics was determined at the left leg heel strike and just before the right toe off during the curved path walking. As a result, a significant main effect of load intensity was found only on FE of (Tho/Virtual lab) at both left leg heel strike and right leg toe off. The study concluded that an increase in the load intensity of unstable load from 10% of body weight likely to generate more thorax extension.

scholarly journals Finite element analysis of wedge and biconcave deformity in four different height restoration after augmentation of osteoporotic vertebral compression fracture

2020 ◽  
Author(s):  
Xiao-Hua Zuo ◽  
Ying-Bing Chen ◽  
Peng Xie ◽  
Wen-Dong Zhang ◽  
Xiang-Yun Xue ◽  
...  
Keyword(s):  
Finite Element ◽  
Three Dimensional ◽  
Axial Rotation ◽  
Neutral Position ◽  
Element Analysis ◽  
Flexion Extension ◽  
Dimensional Finite Element ◽  
Von Mises ◽  
Three Dimensional Finite Element ◽  
Wedge Fracture

Abstract Purpose : Biomechanical comparison of wedge and biconcave deformity of different height restoration after augmentation of osteoporotic vertebral compression fractures was analyzed by three-dimensional finite element analysis (FEA). Methods: Three-dimensional finite element model (FEM) of T11-L2 segment was constructed from CT scan of elderly osteoporosis patient. The von Mises stresses of vertebrae, intervertebral disc, facet joints, displacement, and range of motion (ROM) of wedge and biconcave deformity were compared at four different heights (Genant 0-3 grade) after T12 vertebral augmentation. Results: In wedge deformity, the stress of T12 decreased as the vertebral height in neutral position, flexion, extension and left axial rotation, whereas increased sharply in bending at Genant 0; L1 and L2 decreased in all positions excluding flexion of L2, and T11 increased in neutral position, flexion, extension, and right axial rotation at Genant 0. No significant changes in biconcave deformity. The stress of T11-T12, T12-L1, and L1-L2 intervertebral disc gradually increased or decreased under other positions in wedge fracture, whereas L1-L2 no significant change in biconcave fracture. The utmost overall facet joint stress is at Genant 3, whereas there is no significant change under the same position in biconcave fracture. The displacement and ROM of the wedge fracture had ups and downs, while a decline in all positions excluding extension in biconcave fracture.Conclusionons : The vertebral restoration height after augmentation to Genant 0 affects the von Mises stress, displacement, and ROM in wedge deformity, which may increase the risk of fracture; Whereas restored or not in biconcave deformity.

3D kinematics of the equine metacarpophalangeal joint at walk and trot

2007 ◽  
Vol 02 (02) ◽  
pp. 86-91 ◽  
Author(s):  
D. Sha ◽  
J. Stick ◽  
N. Elvin ◽  
H. M. Clayton
Keyword(s):  
Soft Tissues ◽  
Sagittal Plane ◽  
Proximal Phalanx ◽  
Three Dimensional ◽  
Axial Rotation ◽  
Metacarpophalangeal Joint ◽  
Phase Extension ◽  
Flexion Extension ◽  
The Right ◽  
Value Decomposition

SummaryThe metacarpophalangeal (MCP) joint and its supporting soft tissues are common sites of injury in athletic horses. Equine gait analysis has focused on 2D analysis in the sagittal plane and little information is available which describes 3D motions of the MCP joint and their possible role in the development of injuries. The aim was to characterize the 3D rotations of the equine MCP joint during walking and trotting. Three-dimensional trajectories of marker triads fixed rigidly to the third metacarpus and proximal phalanx of the right forelimb of healthy horses were recorded at walk (n=4) and trot (n=6) at 120 Hz using eight infra-red cameras. Kinematics of the MCP joint were calculated in terms of helical angles between the two segments using singular-value decomposition and spatial attitude methods. The ranges of motion were: flexion/extension: 62 ± 7° at walk, 77 ± 5° at trot; adduction/abduction: 13 ± 7° at walk, 18 ± 7° at trot; and axial rotation: 6 ± 3° at walk, 9 ± 5° at trot. Flexion/extension had a consistent pattern and amplitude in all horses and appeared to be coupled with adduction/abduction, such that stance phase extension was accompanied by abduction and swing phase flexion was accompanied by adduction. Axial rotation was small in amount and the direction varied between horses but was consistent within an individual for the two gaits.

Rod Stress Prediction in Spinal Alignment Surgery With Different Supplementary Rod Constructing Techniques: A Finite Element Study

2018 ◽  
Author(s):  
Ming Xu ◽  
Thomas Scholl ◽  
Pedro Berjano ◽  
Jazmin Cruz ◽  
James Yang
Keyword(s):  
Finite Element ◽  
Contact Region ◽  
Element Model ◽  
Axial Rotation ◽  
Von Mises Stress ◽  
Lateral Bending ◽  
Flexion Extension ◽  
Single Cross ◽  
Von Mises ◽  
Double Cross

Rod fracture and nonunion are common complications associated with pedicle subtraction osteotomies (PSO). Supplementary rods and interbody cage (IB) are added to reduce the primary rod stress. As supplementary rods, delta rods and cross rods have been proposed to reduce more stress on the primary rods compared to conventional supplementary rods (accessary rods) in PSO. The objective of this study is to investigate the effects of cross rods and delta rods on reducing primary rod stress in PSO subject. A validated 3D finite element model of a T12-S1 spine segment with 25° PSO at L3 and bilateral rods fixation from T12-S1 was used to compare different rod configurations: 1) PSO and two primary rods (PSO+2P); 2) PSO with an IB at L2-L3 (PSO+2P+IB); 3) PSO with accessory rods and an IB at L2-L3 (PSO+2P+IB+2A); 4) PSO with delta rods and an IB at L2-L3 (PSO+2P+IB+2D); 5) PSO with single cross rod and an IB at L2-L3 (PSO+2P+IB+1C); 6) PSO with double cross rods and an IB at L2-L3 (PSO+2P+IB+2C). The spine model was loaded with a follower load of 400 N combined with pure moments of 7.5 Nm in flexion, extension, right lateral bending, and right axial rotation. Von Mises stress of the primary rods were predicted for all test conditions. The PSO without IB condition had the largest primary rod stress in flexion. With IB at L2-L3, the rod stress in flexion reduced by 15%. Adding 2 conventional supplementary rods reduced the rod stress in flexion by 29%, which was achieved by adding single cross rod. The maximum von Mises stress occurred in the middle of the primary rods without supplementary rods whereas the maximum stress concentrated adjacent to the contact region between the connectors and the primary rods. Delta rods and double cross rods reduced the most rod stress in flexion, which were by 33% and 32% respectively. Under lateral bending, 2 delta rods reduced the most primary rod stress (−33%). Under axial rotation, the single cross rod reduced the most primary rod stress (−48%). Interbody cages and supplementary rods reduced the primary rod stress in a comparable way. Primary rod stress with 2 delta rods and double cross rods were comparable, which were marginally lower than those with conventional supplementary rods. Adding single cross rod was comparable to adding 2 conventional accessory rods in rod stress reduction in flexion. Under lateral bending, delta rods reduced most rod stress whereas under axial rotation, cross rods reduced most rod stress. This study suggested that both delta rods and cross rods reduce more primary rod stress than conventional accessory rods do.

scholarly journals The biomechanical effect on the adjacent L4/L5 segment of S1 superior facet arthroplasty: a finite element analysis for the male spine

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zewen Shi ◽  
Lin Shi ◽  
Xianjun Chen ◽  
Jiangtao Liu ◽  
Haihao Wu ◽  
...  
Keyword(s):  
Finite Element ◽  
Range Of Motion ◽  
Facet Joint ◽  
Adjacent Segment ◽  
Finite Element Models ◽  
Level Of Evidence ◽  
Element Analysis ◽  
Flexion Extension ◽  
Biomechanical Effect ◽  
Lumbar Range Of Motion

Abstract Background The superior facet arthroplasty is important for intervertebral foramen microscopy. To our knowledge, there is no study about the postoperative biomechanics of adjacent L4/L5 segments after different methods of S1 superior facet arthroplasty. To evaluate the effect of S1 superior facet arthroplasty on lumbar range of motion and disc stress of adjacent segment (L4/L5) under the intervertebral foraminoplasty. Methods Eight finite element models (FEMs) of lumbosacral vertebrae (L4/S) had been established and validated. The S1 superior facet arthroplasty was simulated with different methods. Then, the models were imported into Nastran software after optimization; 500 N preload was imposed on the L4 superior endplate, and 10 N⋅m was given to simulate flexion, extension, lateral flexion and rotation. The range of motion (ROM) and intervertebral disc stress of the L4-L5 spine were recorded. Results The ROM and disc stress of L4/L5 increased with the increasing of the proportions of S1 superior facet arthroplasty. Compared with the normal model, the ROM of L4/L5 significantly increased in most directions of motion when S1 superior facet formed greater than 3/5 from the ventral to the dorsal or 2/5 from the apex to the base. The disc stress of L4/L5 significantly increased in most directions of motion when S1 superior facet formed greater than 3/5 from the ventral to the dorsal or 1/5 from the apex to the base. Conclusion In this study, the ROM and disc stress of L4/L5 were affected by the unilateral S1 superior facet arthroplasty. It is suggested that the forming range from the ventral to the dorsal should be less than 3/5 of the S1 upper facet joint. It is not recommended to form from apex to base. Level of evidence Level IV

scholarly journals Effects of intracorneal ring segments implementation technique and design on corneal biomechanics and keratometry in a personalized computational analysis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Niksa Mohammadi Bagheri ◽  
Mahmoud Kadkhodaei ◽  
Shiva Pirhadi ◽  
Peiman Mosaddegh
Keyword(s):  
Clinical Data ◽  
Three Dimensional ◽  
Element Model ◽  
Von Mises Stress ◽  
Patient Specific ◽  
Average Error ◽  
Constant Thickness ◽  
Arc Length ◽  
Implementation Techniques ◽  
Von Mises

AbstractThe implementation of intracorneal ring segments (ICRS) is one of the successfully applied refractive operations for the treatment of keratoconus (kc) progression. The different selection of ICRS types along with the surgical implementation techniques can significantly affect surgical outcomes. Thus, this study aimed to investigate the influence of ICRS implementation techniques and design on the postoperative biomechanical state and keratometry results. The clinical data of three patients with different stages and patterns of keratoconus were assessed to develop a three-dimensional (3D) patient-specific finite-element model (FEM) of the keratoconic cornea. For each patient, the exact surgery procedure definitions were interpreted in the step-by-step FEM. Then, seven surgical scenarios, including different ICRS designs (complete and incomplete segment), with two surgical implementation methods (tunnel incision and lamellar pocket cut), were simulated. The pre- and postoperative predicted results of FEM were validated with the corresponding clinical data. For the pre- and postoperative results, the average error of 0.4% and 3.7% for the mean keratometry value ($$\text {K}_{\text{mean}}$$ K mean ) were predicted. Furthermore, the difference in induced flattening effects was negligible for three ICRS types (KeraRing segment with arc-length of 355, 320, and two separate 160) of equal thickness. In contrast, the single and double progressive thickness of KeraRing 160 caused a significantly lower flattening effect compared to the same type with constant thickness. The observations indicated that the greater the segment thickness and arc-length, the lower the induced mean keratometry values. While the application of the tunnel incision method resulted in a lower $$\text {K}_{\text{mean}}$$ K mean value for moderate and advanced KC, the induced maximum Von Mises stress on the postoperative cornea exceeded the induced maximum stress on the cornea more than two to five times compared to the pocket incision and the preoperative state of the cornea. In particular, an asymmetric regional Von Mises stress on the corneal surface was generated with a progressive ICRS thickness. These findings could be an early biomechanical sign for a later corneal instability and ICRS migration. The developed methodology provided a platform to personalize ICRS refractive surgery with regard to the patient’s keratoconus stage in order to facilitate the efficiency and biomechanical stability of the surgery.

A Finite Element Model of the Human Knee Joint for the Study of Tibio-Femoral Contact

2002 ◽  
Vol 124 (3) ◽  
pp. 273-280 ◽  
Author(s):  
Tammy L. Haut Donahue ◽  
M. L. Hull ◽  
Mark M. Rashid ◽  
Christopher R. Jacobs
Keyword(s):  
Finite Element ◽  
Articular Cartilage ◽  
Three Dimensional ◽  
Element Model ◽  
Maximum Pressure ◽  
Contact Behavior ◽  
Element Size ◽  
Solid Models ◽  
Flexion Extension ◽  
Three Dimensional Coordinate

As a step towards developing a finite element model of the knee that can be used to study how the variables associated with a meniscal replacement affect tibio-femoral contact, the goals of this study were 1) to develop a geometrically accurate three-dimensional solid model of the knee joint with special attention given to the menisci and articular cartilage, 2) to determine to what extent bony deformations affect contact behavior, and 3) to determine whether constraining rotations other than flexion/extension affects the contact behavior of the joint during compressive loading. The model included both the cortical and trabecular bone of the femur and tibia, articular cartilage of the femoral condyles and tibial plateau, both the medial and lateral menisci with their horn attachments, the transverse ligament, the anterior cruciate ligament, and the medial collateral ligament. The solid models for the menisci and articular cartilage were created from surface scans provided by a noncontacting, laser-based, three-dimensional coordinate digitizing system with an root mean squared error (RMSE) of less than 8 microns. Solid models of both the tibia and femur were created from CT images, except for the most proximal surface of the tibia and most distal surface of the femur which were created with the three-dimensional coordinate digitizing system. The constitutive relation of the menisci treated the tissue as transversely isotropic and linearly elastic. Under the application of an 800 N compressive load at 0 degrees of flexion, six contact variables in each compartment (i.e., medial and lateral) were computed including maximum pressure, mean pressure, contact area, total contact force, and coordinates of the center of pressure. Convergence of the finite element solution was studied using three mesh sizes ranging from an average element size of 5 mm by 5 mm to 1 mm by 1 mm. The solution was considered converged for an average element size of 2 mm by 2 mm. Using this mesh size, finite element solutions for rigid versus deformable bones indicated that none of the contact variables changed by more than 2% when the femur and tibia were treated as rigid. However, differences in contact variables as large as 19% occurred when rotations other than flexion/extension were constrained. The largest difference was in the maximum pressure. Among the principal conclusions of the study are that accurate finite element solutions of tibio-femoral contact behavior can be obtained by treating the bones as rigid. However, unrealistic constraints on rotations other than flexion/extension can result in relatively large errors in contact variables.

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