Comparison of cage application modality in posterior lumbar interbody fusion with posterior instrumentation--a finite element study

Medical Engineering & Physics
Yang-Hwei TsuangCheng-Kung Cheng

Abstract

Posterior lumbar interbody fusion (PLIF) cages have achieved satisfactory fusion results, but cases of cage migration or mechanical failure were repeatedly reported. Therefore, we conducted a finite element study to determine the impact of cage applications including number, positioning, and adding posterior instrumentation (PI). A finite element model of the lumbar spine was generated from Computer Tomography scans and was validated. Partial laminectomy, diskectomy with partial facetectomy, and single or double-cage insertion were simulated onto the model, with or without posterior pedicle screws instrumentation. The maximal von Mises stresses between different loading conditions were compared between modalities to evaluate the risks of migration or mechanical failure. Posterior instrumentation decreases at least half the distortion stress of cage-endplate interface and facet joints, and diminishes the differences between the stresses of inserting one or two cages. Based on one cage insertion, adding posterior instrumentation provides more efficient stability than an additional cage. Furthermore, an obliquely inserted cage with posterior instrumentation produced lower stress than a cage inserted on one side due to better struc...Continue Reading

References

Jan 1, 1979·Journal of Biomechanics·G B Andersson, A B Schultz
Oct 1, 1990·The Journal of Allergy and Clinical Immunology·M V White
Mar 1, 1988·Spine·V A LoguidiceR F Rashbaum
Jan 1, 1996·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·M PfeifferM Billion
Sep 28, 2001·Medical Engineering & Physics·C S ChenW H Lo
Sep 5, 2003·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Anne PolikeitTracy E Orr
Apr 15, 2006·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Koichi SairyoTomoya Terai

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Citations

Sep 16, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Fabio GalbuseraHans-Joachim Wilke
Oct 4, 2013·BMC Musculoskeletal Disorders·Shih-Hao ChenChing-Hua Hung
May 2, 2014·Cell Biochemistry and Biophysics·Chuncheng ZhaoYanzhong Kang
Apr 17, 2013·Journal of Biomedical Materials Research. Part a·Nicholas E TobabenElizabeth A Friis
Jul 2, 2014·The Spine Journal : Official Journal of the North American Spine Society·Divya V AmbatiAnton E Dmitriev
Apr 19, 2016·International Orthopaedics·Mingzheng ZhangYubo Fan
Apr 12, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Pyung Goo ChoDong Ah Shin
Oct 29, 2014·Cell Biochemistry and Biophysics·Yugang JiangXiongqi Peng
Sep 15, 2016·Computer Methods in Biomechanics and Biomedical Engineering·Mingzheng ZhangYubo Fan
Mar 14, 2014·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Ruwaida RosliTunku Kamarul
Apr 29, 2020·The International Journal of Artificial Organs·Masud RanaJayanta Kumar Biswas
May 23, 2019·Biomedical Engineering Online·Andrea Calvo-EcheniqueAmaya Perez Del Palomar
Jul 1, 2020·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Moustafa Mesbah, Abdelwahed Barkaoui
Dec 30, 2011·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·F J AslaniD E T Shepherd
May 23, 2012·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Yoon Hyuk KimKyungsoo Kim
Oct 14, 2020·Computer Methods in Biomechanics and Biomedical Engineering·Qing-Dong Wang, Li-Xin Guo
Nov 24, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Xuyang ZhangFengdong Zhao
Jan 19, 2021·The Spine Journal : Official Journal of the North American Spine Society·Maohua LinFrank D Vrionis
Sep 23, 2020·Journal of the Mechanical Behavior of Biomedical Materials·Sagar UmaleShekar N Kurpad
Aug 3, 2021·Computer Methods in Biomechanics and Biomedical Engineering·Mingzheng ZhangYubo Fan

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