Evidence map›Paper›PMID 38057738›Full record

ArticleBMC musculoskeletal disorders2023

Biomechanical characteristics of a novel interspinous distraction fusion device in the treatment of lumbar degenerative diseases: a finite element analysis.

Mengmeng Chen, Jiechao Deng, Li Bao, Pu Jia, Fei Feng, Guan Shi, Hai Tang, Hao Chen

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Mengmeng Chen *Department of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, No. 95, Yong An Road, XiCheng District, Beijing, 100050, People's Republic of China.
Jiechao Deng *Department of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, No. 95, Yong An Road, XiCheng District, Beijing, 100050, People's Republic of China.
Li BaoDepartment of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, No. 95, Yong An Road, XiCheng District, Beijing, 100050, People's Republic of China.
Pu JiaDepartment of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, No. 95, Yong An Road, XiCheng District, Beijing, 100050, People's Republic of China.
Fei FengDepartment of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, No. 95, Yong An Road, XiCheng District, Beijing, 100050, People's Republic of China.
Guan ShiDepartment of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, No. 95, Yong An Road, XiCheng District, Beijing, 100050, People's Republic of China.
Hai TangDepartment of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, No. 95, Yong An Road, XiCheng District, Beijing, 100050, People's Republic of China. tanghai@ccmu.edu.cn.
Hao ChenDepartment of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, No. 95, Yong An Road, XiCheng District, Beijing, 100050, People's Republic of China. haochen@ccmu.edu.cn.
Beijing Friendship Hospital · CNCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA novel interspinous distraction fusion (ISDF) device has been used to treat lumbar degenerative diseases. As a minimally invasive technique, ISDF differs from the traditional interspinous process distraction devices. Currently, biomechanical studies on ISDF are rare.

objectiveTo investigate the biomechanical properties of the ISDF device (BacFuse) which is used to treat lumbar degenerative diseases.

methodsThree-dimensional L3-L5 models were created. The models were divided into four groups: intact (M1), local decompression alone (M2), internal fixation alone (M3) and local decompression combined with internal fixation (M4), based on different surgical procedures. Local laminectomy was performed to resect the lower part of the L4 lamina and the upper part of the L5 lamina at the right lamina of L4/5 in the M2 and M4 groups. After meshing the models elements, Abaqus were used to perform the finite element (FE) analysis. The intervertebral range of motion (ROM) was measured during flexion, extension, left lateral bending, right lateral bending, left rotation and right rotation under a follower load of 400 N with a 7.5Nm moment. The distributions of disc and facet joint stresses were observed and recorded. Spinal vertebral stress was compared, and internal fixation device stress was observed.

resultsThe ROM of L4/5 in M2 increased in flexion, extension, left lateral bending, right lateral bending, left rotation and right rotation compared with that in M1. In all motion directions, the ROM at L4/5 decreased, and the ROM at L3/4 increased after implantation of the ISDF device in M3 and M4 groups. The disc stress and facet joint stresses in the instrumented segment decreased after implantation of the ISDF device. The spinous process loaded a certain amount of stress in M3 and M4 groups. The spikes of the internal fixation device were loaded with the maximum stress.

conclusionBacFuse exhibited a reduction in intervertebral ROM, as well as decreased stress on the intervertebral disc and facet joint, while also demonstrating a discernible impact on the upper adjacent segment.

Indexed as

Intervertebral DiscSpinal FusionBiomechanical PhenomenaFinite Element AnalysisHumansInternal FixatorsLumbar VertebraeRange of Motion, ArticularBiomechanical propertiesFinite element analysisInterspinous distraction fusion deviceLumbar degenerative diseases

Identifiers

PMID38057738
PMCPMC10701965
OpenAlexW4389381076

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Registered trials

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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.