Evidence map›Paper›PMID 38279094›Full record

ArticleBMC musculoskeletal disorders2024

Biomechanical evaluation of different oblique lumbar interbody fusion constructs: a finite element analysis.

Zhengquan Xu, Qingcong Zheng, Liqun Zhang, Rongsheng Chen, Zhechen Li, Weihong Xu

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 9 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Zhengquan Xu *Department of Spinal Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China.
Qingcong Zheng *Department of Spinal Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China.
Liqun ZhangDepartment of Spinal Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China.
Rongsheng ChenDepartment of Spinal Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China.
Zhechen LiDepartment of Spinal Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China.
Weihong XuDepartment of Spinal Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, China. xuweihong815@126.com.
First Affiliated Hospital of Fujian Medical University · CNFujian Medical University · CN

Funding

Fujian Provincial Health Technology Project No. 2020CXA039
6 · The paper itself

Abstract

backgroundFinite element analysis (FEA) was performed to investigate the biomechanical differences between different adjunct fixation methods for oblique lumbar interbody fusion (OLIF) and to further analyze its effect on adjacent segmental degeneration.

methodsWe built a single-segment (Si-segment) finite element model (FEM) for L4-5 and a double-segment (Do-segment) FEM for L3-5. Each complete FEM was supplemented and modified, and both developed two surgical models of OLIF with assisted internal fixation. They were OLIF with posterior bilateral percutaneous pedicle screw (TINA system) fixation (OLIF + BPS) and OLIF with lateral plate system (OLIF + LPS). The range of motion (ROM) and displacement of the vertebral body, cage stress, adjacent segment disc stress, and spinal ligament tension were recorded for the four models during flexion/extension, right/left bending, and right/left rotation by applying follower load.

resultsFor the BPS and LPS systems in the six postures of flexion, extension, right/left bending, and right/left rotation, the ROM of L4 in the Si-segment FEM were 0.32°/1.83°, 0.33°/1.34°, 0.23°/0.47°, 0.24°/0.45°, 0.33°/0.79°, and 0.34°/0.62°; the ROM of L4 in the Do-segment FEM were 0.39°/2.00°, 0.37°/1.38°, 0.23°/0.47°, 0.21°/0.44°, 0.33°/0.57°, and 0.31°/0.62°, and the ROM of L3 in the Do-segment FEM were 6.03°/7.31°, 2.52°/3.50°, 4.21°/4.38°, 4.21°/4.42°, 2.09°/2.32°, and 2.07°/2.43°. BPS system had less vertebral displacement, less cage maximum stress, and less spinal ligament tension in Si/Do-segment FEM relative to the LPS system. BPS system had a smaller upper adjacent vertebral ROM, greater intervertebral disc stress in terms of left and right bending as well as left and right rotation compared to the LPS system in the L3-4 of the Do-segment FEM. There was little biomechanical difference between the same fixation system in the Si/Do-segment FEM.

conclusionsOur finite element analysis showed that compared to OLIF + LPS, OLIF + BPS (TINA) is more effective in reducing interbody stress and spinal ligament tension, and it better maintains the stability of the target segment and provides a better fusion environment to resist cage subsidence. However, OLIF + BPS (TINA) may be more likely to cause adjacent segment degeneration than OLIF + LPS.

Indexed as

Pedicle ScrewsSpinal FusionBiomechanical PhenomenaFinite Element AnalysisHumansLipopolysaccharidesLumbar VertebraeRange of Motion, ArticularLipopolysaccharidesAdjacent segment degenerationBiomechanical evaluationFinite element analysisOblique lateral interbody fusion

Identifiers

PMID38279094
PMCPMC10821608
OpenAlexW4391282794

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LicenceCC BY
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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.