[Effects of a new anatomical adaptive titanium mesh cage on supportive load at the cervical endplate: a morphological and biomechanical study].

cervical fusion, endplate interbody angle interbody height subsidence supportive load titanium mesh cage

Journal

Nan fang yi ke da xue xue bao = Journal of Southern Medical University
ISSN: 1673-4254
Titre abrégé: Nan Fang Yi Ke Da Xue Xue Bao
Pays: China
ID NLM: 101266132

Informations de publication

Date de publication:
30 Apr 2019
Historique:
entrez: 10 5 2019
pubmed: 10 5 2019
medline: 23 8 2019
Statut: ppublish

Résumé

To assess the geometrical matching of a new anatomical adaptive titanium mesh cage (AA-TMC) with the endplate and its effect on cervical segmental alignment reconstruction in single- and two-level anterior cervical corpectomy and fusion (ACCF) and compare the compressive load at the endplate between the AA-TMC and the conventional titanium mesh cage (TMC). Twelve cervical cadaveric specimens were used to perform single- and two-level ACCF. The interbody angle (IBA), interbody height (IBH) and the interval between the AA-TMC and the endplate were evaluated by comparison of the pre- and postoperative X-ray images. The maximum load at the endplate was compared between the AA-TMC and TMC based on American Society for Testing and Materials (ASTM) F2267 standard. No significant differences were found between the preoperative and postoperative IBA and IBH in either single-level ACCF (11.62°±2.67° The use of AA-TMC in single-level and two-level ACCF can significantly increase the maximum load at the endplate to lower the possibility of implant subsidence and allows effective reconstruction of the cervical alignment.

Identifiants

pubmed: 31068283
doi: 10.12122/j.issn.1673-4254.2019.04.05
pmc: PMC6743989
doi:

Substances chimiques

Titanium D1JT611TNE

Types de publication

Journal Article

Langues

chi

Pagination

409-414

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Auteurs

Teng Lu (T)

Department of Orthopedics, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.

Zhongyang Gao (Z)

Department of Orthopedics, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.

Xijing He (X)

Department of Orthopedics, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.

Jialiang Li (J)

Department of Orthopedics, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.

Ning Liu (N)

Department of Spine Surgery, Hanzhong Central Hospital, Hanzhong 723000, China.

Hui Liang (H)

Department of Orthopedics, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.

Yibin Wang (Y)

Department of Orthopedics, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.

Zhijing Wen (Z)

Department of Orthopedics, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.

Ting Zhang (T)

Department of Orthopedics, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.

Dong Wang (D)

Department of Orthopedics, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.

Haopeng Li (H)

Department of Orthopedics, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.

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Classifications MeSH