Distribution characteristics of stress on the vertebrae following different ranges of excision during Modified Anterior Cervical Discectomy and Fusion: A correlation study based on finite element analysis.
Correlation analysis
Finite element analysis
Modifed anterior cervical discectomy and fusion
Posterior longitudinal ligament ossifcation
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
01 Oct 2024
01 Oct 2024
Historique:
received:
13
05
2024
accepted:
06
09
2024
medline:
2
10
2024
pubmed:
2
10
2024
entrez:
1
10
2024
Statut:
epublish
Résumé
Modified Anterior Cervical Discectomy and Fusion with specific resection ranges is an effective surgical method for the treatment of focal ossification of the posterior longitudinal ligament (OPLL). Herein, we compare and analyse the static stress area distribution by performing different cuts on an original ideal finite element model. A total of 96 groups of finite element models of the C4-C6 cervical spine with different vertebral segmentation ranges (width: 1-12 mm, height: 1-8 mm) were established. The same pressure direction and size were applied to observe the size and distribution area of stress following various ranges of excision of the C5 vertebral body. Different cutting areas had similar stress aggregation points. As the contact area decreased, the stress and the bearing above area increased. The correlation of stress area variation was highest between the 1-2 MPa and 6 MPa-Max regions (Rho = - 0.975). In the surface visualisation model fitting, the width and height were of different ratios in different stress regions. The model with the best fitting degree was the 1-2 MPa group, and the equation fitting (Rho = 0.966) was as follows: Area = 908.80 - 25.92 × Width + 2.71 × Height. Modified Anterior Cervical Discectomy and Fusion with different resection ranges exhibited different stress areas. In a specific resection range of the cervical spine (1-12 mm, 0-8 mm), area conversion occurred at a threshold of 4 MPa. Additionally, the stress was concentrated at the contact points between the vertebral body and the rigid fixator.
Sections du résumé
BACKGROUND
BACKGROUND
Modified Anterior Cervical Discectomy and Fusion with specific resection ranges is an effective surgical method for the treatment of focal ossification of the posterior longitudinal ligament (OPLL). Herein, we compare and analyse the static stress area distribution by performing different cuts on an original ideal finite element model.
METHOD
METHODS
A total of 96 groups of finite element models of the C4-C6 cervical spine with different vertebral segmentation ranges (width: 1-12 mm, height: 1-8 mm) were established. The same pressure direction and size were applied to observe the size and distribution area of stress following various ranges of excision of the C5 vertebral body.
RESULTS
RESULTS
Different cutting areas had similar stress aggregation points. As the contact area decreased, the stress and the bearing above area increased. The correlation of stress area variation was highest between the 1-2 MPa and 6 MPa-Max regions (Rho = - 0.975). In the surface visualisation model fitting, the width and height were of different ratios in different stress regions. The model with the best fitting degree was the 1-2 MPa group, and the equation fitting (Rho = 0.966) was as follows: Area = 908.80 - 25.92 × Width + 2.71 × Height.
CONCLUSION
CONCLUSIONS
Modified Anterior Cervical Discectomy and Fusion with different resection ranges exhibited different stress areas. In a specific resection range of the cervical spine (1-12 mm, 0-8 mm), area conversion occurred at a threshold of 4 MPa. Additionally, the stress was concentrated at the contact points between the vertebral body and the rigid fixator.
Identifiants
pubmed: 39354484
doi: 10.1186/s12891-024-07855-7
pii: 10.1186/s12891-024-07855-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
758Subventions
Organisme : Fujian Provincial Clinical Medical Research Center for First Aid and Rehabilitation in Orthopaedic Trauma
ID : 2020Y2014
Informations de copyright
© 2024. The Author(s).
Références
Imagama S. The essence of clinical practice guidelines for ossification of spinal ligaments, 2019: 5. Treatment of thoracic OPLL. Spine Surg Relat Res. 2021;5(5):330–3.
doi: 10.22603/ssrr.2021-0095
pubmed: 34708168
pmcid: 8502515
Fujimori T, Le H, Hu SS, et al. Ossification of the posterior longitudinal ligament of the cervical spine in 3161 patients: a CT-based study. Spine (Phila Pa 1976). 2015;40(7):E394–403.
doi: 10.1097/BRS.0000000000000791
pubmed: 25811134
Fujimori T, Watabe T, Iwamoto Y, Hamada S, Iwasaki M, Oda T, Prevalence. Concomitance, and distribution of ossification of the spinal ligaments: results of whole spine CT scans in 1500 Japanese patients. Spine (Phila Pa 1976). 2016;41(21):1668–76.
doi: 10.1097/BRS.0000000000001643
pubmed: 27120057
Cao JJ, Kurimoto P, Boudignon B, Rosen C, Lima F, Halloran BP. Aging impairs IGF-I receptor activation and induces skeletal resistance to IGF-I. J Bone Min Res. 2007;22(8):1271–9.
doi: 10.1359/jbmr.070506
Okawa MC, Tuska RM, Lightbourne M, et al. Insulin signaling through the insulin receptor increases Linear Growth through effects on Bone and the GH-IGF-1 Axis. J Clin Endocrinol Metab. 2023;109(1):e96–106.
doi: 10.1210/clinem/dgad491
pubmed: 37595266
pmcid: 10735468
Koike Y, Takahata M, Nakajima M, et al. Genetic insights into ossification of the posterior longitudinal ligament of the spine. Elife. 2023;12:e86514.
doi: 10.7554/eLife.86514
pubmed: 37461309
pmcid: 10353864
Fukada S, Endo T, Takahata M, et al. Dyslipidemia as a novel risk for the development of symptomatic ossification of the posterior longitudinal ligament. Spine J. 2023;23(9):1287–95.
doi: 10.1016/j.spinee.2023.05.005
pubmed: 37160167
Kawaguchi Y, Nakano M, Yasuda T, et al. Serum biomarkers in patients with ossification of the posterior longitudinal ligament (OPLL): inflammation in OPLL. PLoS ONE. 2017;12(5):e0174881.
doi: 10.1371/journal.pone.0174881
pubmed: 28467440
pmcid: 5414934
Le HV, Wick JB, Van BW, Klineberg EO. Ossification of the posterior longitudinal ligament: pathophysiology, diagnosis, and management. J Am Acad Orthop Surg. 2022;30(17):820–30.
pubmed: 35587949
Chikuda H. The essence of clinical practice guidelines for ossification of spinal ligaments, 2019: 3. Diagnosis of OPLL. Spine Surg Relat Res. 2021;5(5):325–7.
doi: 10.22603/ssrr.2021-0118
pubmed: 34708166
pmcid: 8502510
Sun XF, Wang Y, Sun JC, et al. Consensus statement on diagnosis and treatment of cervical ossification of posterior longitudinal ligament from Asia Pacific Spine Society (APSS) 2020. J Orthop Surg (Hong Kong). 2020;28(3):2309499020975213.
doi: 10.1177/2309499020975213
pubmed: 33355038
Xue JL, Xue HH, Cui WL, Xiao J, Liao Z. Modified ACDF technique for the Treatment of Centrum Focal Ossification of the posterior longitudinal ligament: a Case Report. Orthop Surg. 2023;15(5):1414–22.
doi: 10.1111/os.13711
pubmed: 36987657
pmcid: 10157699
Xue HH, Tang D, Zhao WH, Chen L, Liao Z, Xue JL. Static mechanical analysis of the vertebral body after modified anterior cervical discectomy and fusion (partial vertebral osteotomy): a finite element model. J Orthop Surg Res. 2023;18(1):554.
doi: 10.1186/s13018-023-04033-8
pubmed: 37528421
pmcid: 10391851
Panjabi MM, Oxland TR, Yamamoto I, Crisco JJ. Mechanical behavior of the human lumbar and lumbosacral spine as shown by three-dimensional load-displacement curves. J Bone Joint Surg Am. 1994;76(3):413–24.
doi: 10.2106/00004623-199403000-00012
pubmed: 8126047
Lu T, Lu Y. Comparison of Biomechanical Performance among Posterolateral Fusion and Transforaminal, Extreme, and oblique lumbar Interbody Fusion: a finite element analysis. World Neurosurg. 2019;129:e890–9.
doi: 10.1016/j.wneu.2019.06.074
pubmed: 31226452
Lee JH, Park WM, Kim YH, Jahng TA. A biomechanical analysis of an Artificial Disc with a shock-absorbing core property by using whole-cervical spine finite element analysis. Spine (Phila Pa 1976). 2016;41(15):E893–901.
doi: 10.1097/BRS.0000000000001468
pubmed: 26825785
Lee SH, Im YJ, Kim KT, Kim YH, Park WM, Kim K. Comparison of cervical spine biomechanics after fixed- and mobile-core artificial disc replacement: a finite element analysis. Spine (Phila Pa 1976). 2011;36(9):700–8.
doi: 10.1097/BRS.0b013e3181f5cb87
pubmed: 21245792
Wu TK, Meng Y, Liu H, et al. Biomechanical effects on the intermediate segment of noncontiguous hybrid surgery with cervical disc arthroplasty and anterior cervical discectomy and fusion: a finite element analysis. Spine J. 2019;19(7):1254–63.
doi: 10.1016/j.spinee.2019.02.004
pubmed: 30742975
Pope MH. Biomechanics of the lumbar spine. Ann Med. 1989;21(5):347–51.
doi: 10.3109/07853898909149219
pubmed: 2532524
Panjabi MM, White AA 3rd. Basic biomechanics of the spine. Neurosurgery. 1980;7(1):76–93.
doi: 10.1227/00006123-198007000-00014
pubmed: 7413053
Lei T, Wang H, Tong T, Ma Q, Wang L, Shen Y. Enlarged anterior cervical diskectomy and fusion in the treatment of severe localised ossification of the posterior longitudinal ligament. J Orthop Surg Res. 2016;11(1):129.
doi: 10.1186/s13018-016-0449-z
pubmed: 27809858
pmcid: 5096318
Moon BJ, Kim D, Shin DA, et al. Patterns of short-term and long-term surgical outcomes and prognostic factor-square for cervical ossification of the posterior longitudinal ligament between anterior cervical corpectomy and fusion and posterior laminoplasty. Neurosurg Rev. 2019;42(4):907–13.
doi: 10.1007/s10143-018-01069-x
pubmed: 30610499
Chen T, Wang Y, Zhou H, et al. Comparison of anterior cervical discectomy and fusion versus anterior cervical corpectomy and fusion in the treatment of localized ossification of the posterior longitudinal ligament. J Orthop Surg (Hong Kong). 2023;31(1):10225536231167704.
doi: 10.1177/10225536231167704
pubmed: 36972216
Li HD, Zhang QH, Xing ST, Min JK, Shi JG, Chen XS. A novel revision surgery for treatment of cervical ossification of the posterior longitudinal ligament after initial posterior surgery: preliminary clinical investigation of anterior controllable antidisplacement and fusion. J Orthop Surg Res. 2018;13(1):215.
doi: 10.1186/s13018-018-0920-0
pubmed: 30157879
pmcid: 6114058
Kong QJ, Sun XF, Wang Y, et al. New anterior controllable antedisplacement and fusion surgery for cervical ossification of the posterior longitudinal ligament: a biomechanical study. J Neurosurg Spine. 2022;37(1):4–12.
doi: 10.3171/2021.8.SPINE21879
pubmed: 34996038
Munari LS, Cornacchia TP, Moreira AN, Gonçalves JB, De Las Casas EB, Magalhães CS. Stress distribution in a premolar 3D model with anisotropic and isotropic enamel. Med Biol Eng Comput. 2015;53(8):751–8.
doi: 10.1007/s11517-015-1289-4
pubmed: 25850984
Shih PJ, Wang IJ, Cai WF, Yen JY. Biomechanical Simulation of Stress Concentration and intraocular pressure in Corneas subjected to Myopic Refractive Surgical procedures. Sci Rep. 2017;7(1):13906.
doi: 10.1038/s41598-017-14293-0
pubmed: 29066773
pmcid: 5655007
Rebora A, Torre G, Vernassa G. Stress concentration factors in Excavation repairs of Surface defects in Forgings and Castings. Mater (Basel). 2022;15(5):1705.
doi: 10.3390/ma15051705
Garay RS, Solitro GF, Lam KC, et al. Characterization of regional variation of bone mineral density in the geriatric human cervical spine by quantitative computed tomography. PLoS ONE. 2022;17(7):e0271187.
doi: 10.1371/journal.pone.0271187
pubmed: 35802639
pmcid: 9269429
Manickam PS, Ghosh G, Shetty GM, Chowdhury AR, Roy S. Biomechanical analysis of the novel S-type dynamic cage by implementation of teaching learning based optimization algorithm - an experimental and finite element study. Med Eng Phys. 2023;112:103955.
doi: 10.1016/j.medengphy.2023.103955
pubmed: 36842778