Finite element analysis of different pedicle screw internal fixations for first lumbar vertebral fracture in different sports conditions
OBJECTIVE: Lumbar fractures are the most common spinal injuries, and surgery is required for severe fracture. This study aimed to investigate the variations in motion and stress in varying states of activity after minimally invasive and traditional open pedicle screw placement for L1 vertebral fracture stabilization.
METHODS: We studied a male volunteer (26 years old) with no history of chronic back pain or lumbar spine trauma. We used the finite element method for this investigation. Using finite element software, we created a three-dimensional model of L1 vertebral compression fracture. We also constructed models for four percutaneous pedicle screws spanning the fractured vertebra and four screws traversing the damaged vertebra with transverse fixation.
RESULTS: In all three-dimensional movement directions, the open pedicle fixation system experienced maximum stress higher than its percutaneous counterpart. With axial spinal rotation, von Mises stress on the traditional open pedicle screw was considerably lower than that with percutaneous pedicle fixation, but peak stress was elevated at the transverse connection. Traditional open pedicle fixation displayed less maximum displacement than percutaneous pedicle internal fixation.
CONCLUSIONS: During axial spinal movements, high peak stress is observed at the transverse connection. Patients should avoid excessive axial rotation of the spine during recovery.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:52 |
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| Enthalten in: |
The Journal of international medical research - 52(2024), 3 vom: 11. März, Seite 3000605241236054 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Ma, Pengpeng [VerfasserIn] |
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| Links: |
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| Themen: |
Finite element |
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| Anmerkungen: |
Date Completed 13.03.2024 Date Revised 14.03.2024 published: Print Citation Status MEDLINE |
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| doi: |
10.1177/03000605241236054 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369581148 |
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| 245 | 1 | 0 | |a Finite element analysis of different pedicle screw internal fixations for first lumbar vertebral fracture in different sports conditions |
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| 500 | |a Date Completed 13.03.2024 | ||
| 500 | |a Date Revised 14.03.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: Lumbar fractures are the most common spinal injuries, and surgery is required for severe fracture. This study aimed to investigate the variations in motion and stress in varying states of activity after minimally invasive and traditional open pedicle screw placement for L1 vertebral fracture stabilization | ||
| 520 | |a METHODS: We studied a male volunteer (26 years old) with no history of chronic back pain or lumbar spine trauma. We used the finite element method for this investigation. Using finite element software, we created a three-dimensional model of L1 vertebral compression fracture. We also constructed models for four percutaneous pedicle screws spanning the fractured vertebra and four screws traversing the damaged vertebra with transverse fixation | ||
| 520 | |a RESULTS: In all three-dimensional movement directions, the open pedicle fixation system experienced maximum stress higher than its percutaneous counterpart. With axial spinal rotation, von Mises stress on the traditional open pedicle screw was considerably lower than that with percutaneous pedicle fixation, but peak stress was elevated at the transverse connection. Traditional open pedicle fixation displayed less maximum displacement than percutaneous pedicle internal fixation | ||
| 520 | |a CONCLUSIONS: During axial spinal movements, high peak stress is observed at the transverse connection. Patients should avoid excessive axial rotation of the spine during recovery | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Orthopedics | |
| 650 | 4 | |a finite element | |
| 650 | 4 | |a fracture | |
| 650 | 4 | |a internal fixation | |
| 650 | 4 | |a lumbar 1 fracture | |
| 650 | 4 | |a pedicle screw instrumentation | |
| 650 | 4 | |a stress | |
| 650 | 4 | |a transverse fixation | |
| 700 | 1 | |a Li, Zhenyu |e verfasserin |4 aut | |
| 700 | 1 | |a Miao, Jun |e verfasserin |4 aut | |
| 700 | 1 | |a Zhang, Xin |e verfasserin |4 aut | |
| 700 | 1 | |a Zong, Zhiguo |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Tian |e verfasserin |4 aut | |
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