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部分鉤突切除對(duì)頸椎穩(wěn)定性影響的有限元分析

Finite element analysis on the effects of uncinate process resection on the stability of cervical spine

作者: 薄雪峰  陳贊  王輝  錢(qián)秀清  張昆亞  宋紅芳  劉志成                         
單位:                                 首都醫(yī)科大學(xué)生物醫(yī)學(xué)工程學(xué)院(北京100069)            
關(guān)鍵詞:                               頸椎穩(wěn)定性;鉤突切除;有限元模型             
分類號(hào):
出版年·卷·期(頁(yè)碼):2015·34·5(447-453)
摘要:

目的 建立頸椎(C4-C6)三維有限元模型,研究鉤突切除前后對(duì)頸椎穩(wěn)定性的影響。方法 根據(jù)健康志愿者的頸椎斷層CT掃描序列圖像,采用Mimics13.1和SolidWorks2012軟件進(jìn)行三維重建和造型,利用ANSYS15.0軟件,對(duì)頸椎及周圍組織賦予不同的材料屬性,建立頸椎(C4-C6)三維有限元模型。在建立的模型上加載,模擬脊柱的前屈、后伸、左右側(cè)曲、左右旋轉(zhuǎn)6種工況下的生理活動(dòng),獲取位移、應(yīng)力等數(shù)值云圖,并進(jìn)行分析驗(yàn)證。在C5節(jié)段左側(cè)鉤突上分別切除鉤突高度的25%、50%和60%,獲得不同范圍鉤突切除時(shí)的左側(cè)彎狀態(tài)下頸椎各部位的位移、應(yīng)力等數(shù)值云圖,分析不同范圍鉤突切除對(duì)頸椎穩(wěn)定性的影響。結(jié)果 本研究建立了三個(gè)椎體運(yùn)動(dòng)節(jié)段的三維有限元模型,模型高度模擬頸椎結(jié)構(gòu)與材料特性,研究了不同范圍鉤突切除后,頸椎穩(wěn)定性受到的影響。鉤突切除高度的25%后的左側(cè)彎狀態(tài)與未切除時(shí)對(duì)比分析,位移云圖變化不大,最大等效應(yīng)力減小。鉤突切除高度的50%、60%后的左側(cè)彎狀態(tài)下的位移繼續(xù)增大,最大等效應(yīng)力逐漸減小。結(jié)論 切除鉤突高度的25%時(shí)對(duì)頸椎穩(wěn)定性影響不大,隨著切除鉤突范圍的增加,頸椎的穩(wěn)定性逐漸降低。

Objective We established a three-dimensional finite element model of the cervical spine (C4-C6) to study uncinate process resection effects on the stability of cervical spine. Methods A three-dimensional finite element model of the cervical spine was established from the CT scan images of a healthy male using Mimics13.1, SolidWorks2012, and ANSYS15.0 software. Different materials were assigned different mechanical parameters, and we created a cervical three-dimensional finite element model based on the method of tetrahedral mesh. Loading in the established model to simulate the extension, flexion, lateral bending, rotation, the total deformation and equivalent stress of spine were obtained and verified. The left uncinate process was resected 25%, 50% and 60% respectively in the C5 section. We analyzed the effects of uncinate process resection of different range on the stability of cervical spine in left lateral bending. Results The three-dimensional finite element model with more structure integrity and geometric similarity was compartmentalized subtly. Through comparative analysis of uncinate process resection: 25%, 50%, 60% compared with non resection, total deformation increased and the maximum equivalent stress decreased along with the increasing range of uncinate process resection. Conclusions The 25% resection of the uncinate process had little effect on the stability of cervical vertebrae. With the increase of uncinate process resection, the stability of the cervical spine decreased.

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