Biomechanical Research of Transforaminal Lumbar Interbody Fusion Model_Journal of Biomedical Engineering

Authors：

YANWentao ¹ ,  ZHAOGaiping ¹ , FANGXinguo ¹ , GUOHaoxiang ¹ , MATong ² , TUYihui ²

1. School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China;
2. Shanghai Yangpu District Central Hospital, Shanghai 200090, China;

Corresponding author：

ZHAOGaiping, Email: zgp_06@126.com

Keywords：

transforaminal lumbar interbody fusion; lumbar spondylolisthesis; internal fixation; biomechanical characteristics; finite element analysis

DOI：

10.7507/1001-5515.20150012

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Based on the surgical model using transforaminal lumbar interbody fusion (TLIF) to treat lumbar spondylolisthesis, this paper presents the investigations of the biomechanical characteristics of cage and pedicle screw in lumbar spinal fusion implant fixed system under different combinations with finite element method. Firstly, combining the CT images with finite element pretreatment software, we established three dimensional nonlinear finite element model of human lumbar L4-L5 segmental slight slippage and implant under different fixed combinations. We then made a comparison analysis between the biomechanical characteristics of lumbar motion range, stress distribution of cage and pedicle screw under six status of each model which were flexion, extension, left lateral bending, right lateral bending, left axial rotation and right axial rotation. The results showed that the motion ranges of this model under different operations were reduced above 84% compared with those of the intact model, and the stability of the former was improved significantly. The stress values of cage and pedicle screw were relatively larger when they were fixed by single fusion device additional unilateral pedicle screw, but there was no statistically significant difference. The above research results would provide reference and confirmation for further biomechanics research of TLIF extracorporal specimens, and finally provide biomechanical basis for the feasibility of unilateral internal fixed diagonal intervertebral fusion TLIF surgery.

Citation： YANWentao, ZHAOGaiping, FANGXinguo, GUOHaoxiang, MATong, TUYihui. Biomechanical Research of Transforaminal Lumbar Interbody Fusion Model. Journal of Biomedical Engineering, 2015, 32(1): 67-72. doi: 10.7507/1001-5515.20150012 Copy

1.	胡日鹤, 周初松.腰椎滑脱不同融合术式的三维有限元研究[J].实用临床医药杂志, 2010, 14(13): 41-45.
2.	MOSKOWITZ A. Transformational lumbar interbody fusion[J]. Orthop Clin North Am, 2002, 33(9): 359-366.
3.	SUK K S, LEE H M, KIM N H, et al. Unilateral versus bilateral pedicle screw fixation in lumbar spinal fusion[J]. Spine, 2000, 25(14): 1843-1847.
4.	TUTTLE J, SHAKIR A, CHOUDHRI H F, et al. Paramedian approach for transforaminal lumbar interbody fusion with unilateral pedicle screw fixation. Technical note and preliminary report on 47 cases[J]. Neurosurg Focus, 2006, 20(3): E5.
5.	SLUCKY A V, BRODKE D S, BACHUS K N, et al. Less invasive posterior fixation method following transforaminal lumbar interbody fusion: a biomechanical analysis[J]. Spine, 2006, 6(1): 75-80.
6.	HASIL B M, HILIBRAND A S, SAVAS P E, et al. Transforaminal lumbar interbody fusion: the effect of various instrumentation techniques on the flexibility of the lumbar spine[J]. Spine, 2004, 29(4): E 65-E70.
7.	陈立业, 夏虹, 王建华, 等.双侧钉棒及同侧单钉棒置入内固定的生物力学比较[J].中国组织工程研究与临床康复, 2011, 15(48): 8985-8988.
8.	陈家麟, 茅祖斌, 吴小涛.四种经椎孔腰椎间融合固定方式的三维有限元分析[J].中国组织工程研究与临床康复, 2008, 12(29): 7605-7610.
9.	EBERLEIN R, HOLZAPHFEL G A, SCHULZE-BAUER C A J. An anisotropic constitutive model for annulus tissue and enhanced finite element analysis of intact lumbar disc bodies[J]. Comput Methods Biomed Eng, 2001, 4(3): 209-230.
10.	PINTAR F A, YOGANANDAN N, MYERS T, et al.Biomechanical properties of human lumbar Spine ligaments[J].Biomech, 1992, 25(11): 1351-1356.
11.	冯勇, 刘道志.不同腰椎融合器对邻近节段影响的生物力学研究[J].中国生物医学工程学报, 2010, 29(5): 25-31.
12.	SHIRAZI-ADL A, AHMED A, SHRIVASTAVA S. Mechanical response of a lumbar motion segment in axial torque alone and combine with compression[J]. Spine, 1986, 11 (9): 914-927.
13.	SCHMIDT H, HEUER F, DRUMM J, et al. Application of a new calibration method provides more realistic results for a finite element model of a lumbar spinal segment[J]. Clinical Biomechanics, 2007, 22(4): 377-384.
14.	SCHMIDT H, KETTLER A, HEUER F, et al. Intradiscal pressure, shear strain, and fiber strain in the intervertebral disc under combined loading[J]. Spine, 2007, 32(7): 748-755.
15.	HOLZAPFEL G A, SCHULZE-BAUERR C A J, FEIGL G, et al. Single lamellar mechanics of the human lumbar annulus fibrosus[J]. Biomechanics and Modeling in Mechanobiology, 2005, 3(3): 125-140.
16.	SCHMIDT H, HEUER F, SIMON U, et al. Application of a new calibration method for a three-dimensional finite element model of a human lumbar annulus fibrosus[J]. Clinical Biomechanics, 2006, 21(4): 337-344.
17.	MANOJ S, NOSHIR L, JORGE R. Role of ligaments and facets in lumbar spinal stability[J]. Spine, 1995, 20(8): 887-900.
18.	HACKENBERG L, HALM H, BULLMANN V, et al. Transforaminal lumbar interbody fusion: a safe technique with satisfactory three to five year results[J]. Eur Spine J, 2005, 14 (6): 551-558.
19.	ZANDER T, ROHLMANN A, KLOCKNER C, et al. Influence of graded facetectomy and laminectomy on spinal biomechanics[J]. Eur Spine, 2003, 12(4): 427-434.
20.	BLUME H G, ROJAS C H. Unilateral lumbar interbody fusion (posterior approach) utilizing dowel graft[J]. Neurol Orthop Surg, 1981, 2(7):171-175.
21.	HARMS J G, JESZENSKY D. The unilateral transforaminal approach for posterior lumbar interbody fusion[J]. Orthop Traumatol, 1998, 10(2): 90-102.
22.	陈志明, 马华松, 赵杰, 等.腰椎单侧椎弓根螺钉固定的三维有限元分析[J].中国脊柱脊髓杂志, 2010, 20(8): 684-688.

1. 胡日鹤, 周初松.腰椎滑脱不同融合术式的三维有限元研究[J].实用临床医药杂志, 2010, 14(13): 41-45.
2. MOSKOWITZ A. Transformational lumbar interbody fusion[J]. Orthop Clin North Am, 2002, 33(9): 359-366.
3. SUK K S, LEE H M, KIM N H, et al. Unilateral versus bilateral pedicle screw fixation in lumbar spinal fusion[J]. Spine, 2000, 25(14): 1843-1847.
4. TUTTLE J, SHAKIR A, CHOUDHRI H F, et al. Paramedian approach for transforaminal lumbar interbody fusion with unilateral pedicle screw fixation. Technical note and preliminary report on 47 cases[J]. Neurosurg Focus, 2006, 20(3): E5.
5. SLUCKY A V, BRODKE D S, BACHUS K N, et al. Less invasive posterior fixation method following transforaminal lumbar interbody fusion: a biomechanical analysis[J]. Spine, 2006, 6(1): 75-80.
6. HASIL B M, HILIBRAND A S, SAVAS P E, et al. Transforaminal lumbar interbody fusion: the effect of various instrumentation techniques on the flexibility of the lumbar spine[J]. Spine, 2004, 29(4): E 65-E70.
7. 陈立业, 夏虹, 王建华, 等.双侧钉棒及同侧单钉棒置入内固定的生物力学比较[J].中国组织工程研究与临床康复, 2011, 15(48): 8985-8988.
8. 陈家麟, 茅祖斌, 吴小涛.四种经椎孔腰椎间融合固定方式的三维有限元分析[J].中国组织工程研究与临床康复, 2008, 12(29): 7605-7610.
9. EBERLEIN R, HOLZAPHFEL G A, SCHULZE-BAUER C A J. An anisotropic constitutive model for annulus tissue and enhanced finite element analysis of intact lumbar disc bodies[J]. Comput Methods Biomed Eng, 2001, 4(3): 209-230.
10. PINTAR F A, YOGANANDAN N, MYERS T, et al.Biomechanical properties of human lumbar Spine ligaments[J].Biomech, 1992, 25(11): 1351-1356.
11. 冯勇, 刘道志.不同腰椎融合器对邻近节段影响的生物力学研究[J].中国生物医学工程学报, 2010, 29(5): 25-31.
12. SHIRAZI-ADL A, AHMED A, SHRIVASTAVA S. Mechanical response of a lumbar motion segment in axial torque alone and combine with compression[J]. Spine, 1986, 11 (9): 914-927.
13. SCHMIDT H, HEUER F, DRUMM J, et al. Application of a new calibration method provides more realistic results for a finite element model of a lumbar spinal segment[J]. Clinical Biomechanics, 2007, 22(4): 377-384.
14. SCHMIDT H, KETTLER A, HEUER F, et al. Intradiscal pressure, shear strain, and fiber strain in the intervertebral disc under combined loading[J]. Spine, 2007, 32(7): 748-755.
15. HOLZAPFEL G A, SCHULZE-BAUERR C A J, FEIGL G, et al. Single lamellar mechanics of the human lumbar annulus fibrosus[J]. Biomechanics and Modeling in Mechanobiology, 2005, 3(3): 125-140.
16. SCHMIDT H, HEUER F, SIMON U, et al. Application of a new calibration method for a three-dimensional finite element model of a human lumbar annulus fibrosus[J]. Clinical Biomechanics, 2006, 21(4): 337-344.
17. MANOJ S, NOSHIR L, JORGE R. Role of ligaments and facets in lumbar spinal stability[J]. Spine, 1995, 20(8): 887-900.
18. HACKENBERG L, HALM H, BULLMANN V, et al. Transforaminal lumbar interbody fusion: a safe technique with satisfactory three to five year results[J]. Eur Spine J, 2005, 14 (6): 551-558.
19. ZANDER T, ROHLMANN A, KLOCKNER C, et al. Influence of graded facetectomy and laminectomy on spinal biomechanics[J]. Eur Spine, 2003, 12(4): 427-434.
20. BLUME H G, ROJAS C H. Unilateral lumbar interbody fusion (posterior approach) utilizing dowel graft[J]. Neurol Orthop Surg, 1981, 2(7):171-175.
21. HARMS J G, JESZENSKY D. The unilateral transforaminal approach for posterior lumbar interbody fusion[J]. Orthop Traumatol, 1998, 10(2): 90-102.
22. 陈志明, 马华松, 赵杰, 等.腰椎单侧椎弓根螺钉固定的三维有限元分析[J].中国脊柱脊髓杂志, 2010, 20(8): 684-688.

Previous Article
Optimal Solution and Analysis of Muscular Force during Standing Balance
Next Article
Fatigue Property Analysis of Prosthesis of Hip Joint with Two Different Materials

Journal of Biomedical Engineering

Biomechanical Research of Transforaminal Lumbar Interbody Fusion Model

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content