ArticleAmerican journal of translational research2020
Biomechanical effects of direction-changeable cage positions on lumbar spine: a finite element study.
Article in American journal of translational research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Influence of the geometric and material properties of lumbar endplate on lumbar interbody fusion failure: a systematic review.Journal of orthopaedic surgery and research · 2022Pooled it
- Biomechanical Behavior of Injected Cement Spacers versus Traditional Cages in Low-Density Lumbar Spine under Compression Loading.Medicina (Kaunas, Lithuania) · 2024Article
- Biomechanical studies of different numbers and positions of cage implantation on minimally invasive transforaminal interbody fusion: A finite element analysis.Frontiers in surgery · 2022Article
- A novel anatomic titanium mesh cage for reducing the subsidence rate after anterior cervical corpectomy: a finite element study.Scientific reports · 2021Article
- Understanding the Future Prospects of Synergizing Minimally Invasive Transforaminal Lumbar Interbody Fusion Surgery with Ceramics and Regenerative Cellular Therapies.International journal of molecular sciences · 2021Review
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This finite element (FE) study of lumbar biomechanics aims to predict how the parameters like range of motion (ROM), intervertebral disc pressure (IDP), cage stress and screw stress are affected by different direction-changeable cage positions. Firstly, the three-dimensional FE model of L3-L5 segment was developed, and the model was adjusted to adapt different direction-changeable cage positions at the L4-L5 level though transforaminal lumbar interbody fusion (TLIF) with pedicle screws. The effects of Type A (the lateral region), Type B (the lateralcentral region) and Type C (the anteriocentral region) on ROM, IDP, cage stress and screw stress were examined. The results showed that after implantation of interbody cages at different positions, the ROM at surgical level L4-L5 decreased substantially in all motion modes. The maximal stress in cage decreased with Type A, B and C in all motion modes except flexion and extension. The maximal cage stress was observed in Type A with 720.5 MPa in left rotation, in Type B with 707 MPa in flexion, in Type C with 397.3 MPa in left rotation, respectively. The maximal IDP was similar in three types, with 1.6 MPa in left lateral bending in Type A, 1.5 MPa in flexion in Type B, and 1.4 MPa in flexion in Type C. The range of screw peak stress was 16.4 to 61.1 MPa in Type A, 15.9 to 50.9 MPa in Type B, and 14.6 to 46.1 MPa Type C. In conclusion, comparing the cages with different positions, anteriocentral position cage has more advantages like lower cage stress, ODL and screw stress.
Indexed as
Identifiers
32194891PMC7061850W3012881832What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.