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Biomechanical Comparison of Spinal Fusion Methods Using Interspinous Process Compressor and Pedicle Screw Fixation System Based on Finite Element Method
- Biomechanical Comparison of Spinal Fusion Methods Using Interspinous Process Compressor and Pedicle Screw Fixation System Based on Finite Element Method
- Choi, J[Choi, Jisoo]; Kim, S[Kim, Sohee]; Shin, DA[Shin, Dong-Ah]
- DGIST Authors
- Kim, S[Kim, Sohee]
- Issue Date
- Journal of Korean Neurosurgical Society, 59(2), 91-97
- Article Type
- Adult; Biomechanics; Bone Remodeling; Comparative Study; Computer Assisted Tomography; Finite Element Analysis; Human; Interspinous Device; Interspinous Implant; Intervertebral Disc Degeneration; Intervertebral Disk Degeneration; Male; Normal Human; Pedicle Screw; Pedicle Screw Fixation Device; Range of Motion; Spine Fusion; Young Adult
- Objective: To investigate the biomechanical effects of a newly proposed Interspinous Process Compressor (IPC) and compare with pedicle screw fixation at surgical and adjacent levels of lumbar spine. Methods: A three dimensional finite element model of intact lumbar spine was constructed and two spinal fusion models using pedicle screw fixation system and a new type of interspinous devices, IPC, were developed. The biomechanical effects such as range of motion (ROM) and facet contact force were analyzed at surgical level (L3/4) and adjacent levels (L2/3, L4/5). In addition, the stress in adjacent intervertebral discs (D2, D4) was investigated. Results: The entire results show biomechanical parameters such as ROM, facet contact force, and stress in adjacent intervertebral discs were similar between PLIF and IPC models in all motions based on the assumption that the implants were perfectly fused with the spine. Conclusion: The newly proposed fusion device, IPC, had similar fusion effect at surgical level, and biomechanical effects at adjacent levels were also similar with those of pedicle screw fixation system. However, for clinical applications, real fusion effect between spinous process and hooks, duration of fusion, and influence on spinous process need to be investigated through clinical study. © 2016 The Korean Neurosurgical Society.
- KOREAN NEUROSURGICAL SOC
- Related Researcher
Kim, So Hee
Neural Interfaces & MicroSystems Lab
Neural interface; Neural stimulation; Bio MEMS; Stretchable electronics; Numerical simulation of implant-body interactions
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