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Biomechanical Comparison of Spinal Fusion Methods Using Interspinous Process Compressor and Pedicle Screw Fixation System Based on Finite Element Method

Title
Biomechanical Comparison of Spinal Fusion Methods Using Interspinous Process Compressor and Pedicle Screw Fixation System Based on Finite Element Method
Authors
Choi, J[Choi, Jisoo]Kim, S[Kim, Sohee]Shin, DA[Shin, Dong-Ah]
DGIST Authors
Kim, S[Kim, Sohee]
Issue Date
2016-03
Citation
Journal of Korean Neurosurgical Society, 59(2), 91-97
Type
Article
Article Type
Article
Keywords
AdultBiomechanicsBone RemodelingComparative StudyComputer Assisted TomographyFinite Element AnalysisHumanInterspinous DeviceInterspinous ImplantIntervertebral Disc DegenerationIntervertebral Disk DegenerationMaleNormal HumanPedicle ScrewPedicle Screw Fixation DeviceRange of MotionSpine FusionYoung Adult
ISSN
2005-3711
Abstract
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.
URI
http://hdl.handle.net/20.500.11750/1304
DOI
10.3340/jkns.2016.59.2.91
Publisher
KOREAN NEUROSURGICAL SOC
Related Researcher
  • Author Kim, So Hee Neural Interfaces & MicroSystems Lab
  • Research Interests Neural interface; Neural stimulation; Bio MEMS; Stretchable electronics; Numerical simulation of implant-body interactions
Files:
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Collection:
Robotics EngineeringNeural Interfaces & MicroSystems Lab1. Journal Articles
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