Type Id versus type IId three-level hybrid surgery for the treatment of noncontiguous cervical spondylosis: A finite element analysis
The objective of the research is to simulate different forms of three-level hybrid surgeries, aiming to establish a foundational reference for the selection of suitable treatment strategies for multilevel noncontiguous cervical degenerative disease (CDD). For the development of precise finite elemen...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-09-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S221475192400029X |
| _version_ | 1797205962689347584 |
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| author | Jiang Huang Xiangyao Sun Qingming Zhang Li Cao Yuqi Liu Zelong Song Wei Tang Siyuan Sun Juyong Wang |
| author_facet | Jiang Huang Xiangyao Sun Qingming Zhang Li Cao Yuqi Liu Zelong Song Wei Tang Siyuan Sun Juyong Wang |
| author_sort | Jiang Huang |
| collection | DOAJ |
| description | The objective of the research is to simulate different forms of three-level hybrid surgeries, aiming to establish a foundational reference for the selection of suitable treatment strategies for multilevel noncontiguous cervical degenerative disease (CDD). For the development of precise finite element models (FEMs), this study utilized computed tomography (CT) data. Two cross-segment surgical approaches were primarily investigated: C3/4 cervical disc arthroplasty (CDA), C5/6 anterior cervical discectomy and fusion (ACDF), and C6/7 ACDF in the type Id model; C3/4 CDA, C5/6 CDA, and C6/7 ACDF in the type IId model. The follower load technique was employed to apply an initial axial load of 73.6 N at the motion center. Subsequently, a moment of 1.0 Nm was introduced at the center of the C2 vertebra to simulate the overall motion of the model. In contrast to type IId, type Id exhibited lower average intervertebral disc pressure in C4/5 across various motions. The average intervertebral disc pressure in C2/3 was higher in type Id compared to type IId in flexion and axial rotation, whereas the reverse was observed in lateral bending. Type IId exhibited notably lower facet joint contact stresses during extension in C2/3 and C4/5 when compared to type Id. Type Id has a better protective effect on IS, and can significantly reduce the average pressure of the intervertebral disc in IS compared with type IId. Type IId has a significant protective effect on the post-column structure of non-fused segments. |
| first_indexed | 2024-04-24T08:59:27Z |
| format | Article |
| id | doaj.art-33c981c10ffa4a4287230568bf8a8243 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-04-24T08:59:27Z |
| publishDate | 2024-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-33c981c10ffa4a4287230568bf8a82432024-04-16T04:09:41ZengElsevierInterdisciplinary Neurosurgery2214-75192024-09-0137101983Type Id versus type IId three-level hybrid surgery for the treatment of noncontiguous cervical spondylosis: A finite element analysisJiang Huang0Xiangyao Sun1Qingming Zhang2Li Cao3Yuqi Liu4Zelong Song5Wei Tang6Siyuan Sun7Juyong Wang8Department of Orthopaedics, Xuanwu Hospital Capital Medical University, Beijing 100053, China; National Clinical Research Center for Geriatric Diseases, Beijing 100053, ChinaDepartment of Orthopaedics, Xuanwu Hospital Capital Medical University, Beijing 100053, China; National Clinical Research Center for Geriatric Diseases, Beijing 100053, China; Beijing Glitzern Technology Co., Ltd, Beijing 100077, China; Corresponding authors at: Department of Orthopaedics, Xuanwu Hospital Capital Medical University, Beijing 100053, China.Department of Orthopaedics, Xuanwu Hospital Capital Medical University, Beijing 100053, China; National Clinical Research Center for Geriatric Diseases, Beijing 100053, ChinaDepartment of Orthopaedics, Xuanwu Hospital Capital Medical University, Beijing 100053, China; National Clinical Research Center for Geriatric Diseases, Beijing 100053, ChinaDepartment of Emergency, Xuanwu Hospital, Capital Medical University, Beijing 100053, ChinaNankai University School of Medicine, Nankai University, Tianjin 300071, China; Department of Orthopaedics, The PLA General Hospital, Beijing 100000, ChinaBeijing Glitzern Technology Co., Ltd, Beijing 100077, ChinaDepartment of Interdisciplinary, Life Science, Purdue University, West Lafayette, IN 47907, USADepartment of Orthopaedics, Xuanwu Hospital Capital Medical University, Beijing 100053, China; National Clinical Research Center for Geriatric Diseases, Beijing 100053, China; Corresponding authors at: Department of Orthopaedics, Xuanwu Hospital Capital Medical University, Beijing 100053, China.The objective of the research is to simulate different forms of three-level hybrid surgeries, aiming to establish a foundational reference for the selection of suitable treatment strategies for multilevel noncontiguous cervical degenerative disease (CDD). For the development of precise finite element models (FEMs), this study utilized computed tomography (CT) data. Two cross-segment surgical approaches were primarily investigated: C3/4 cervical disc arthroplasty (CDA), C5/6 anterior cervical discectomy and fusion (ACDF), and C6/7 ACDF in the type Id model; C3/4 CDA, C5/6 CDA, and C6/7 ACDF in the type IId model. The follower load technique was employed to apply an initial axial load of 73.6 N at the motion center. Subsequently, a moment of 1.0 Nm was introduced at the center of the C2 vertebra to simulate the overall motion of the model. In contrast to type IId, type Id exhibited lower average intervertebral disc pressure in C4/5 across various motions. The average intervertebral disc pressure in C2/3 was higher in type Id compared to type IId in flexion and axial rotation, whereas the reverse was observed in lateral bending. Type IId exhibited notably lower facet joint contact stresses during extension in C2/3 and C4/5 when compared to type Id. Type Id has a better protective effect on IS, and can significantly reduce the average pressure of the intervertebral disc in IS compared with type IId. Type IId has a significant protective effect on the post-column structure of non-fused segments.http://www.sciencedirect.com/science/article/pii/S221475192400029XCervical degenerative diseaseHybrid surgeryFinite element analysis |
| spellingShingle | Jiang Huang Xiangyao Sun Qingming Zhang Li Cao Yuqi Liu Zelong Song Wei Tang Siyuan Sun Juyong Wang Type Id versus type IId three-level hybrid surgery for the treatment of noncontiguous cervical spondylosis: A finite element analysis Interdisciplinary Neurosurgery Cervical degenerative disease Hybrid surgery Finite element analysis |
| title | Type Id versus type IId three-level hybrid surgery for the treatment of noncontiguous cervical spondylosis: A finite element analysis |
| title_full | Type Id versus type IId three-level hybrid surgery for the treatment of noncontiguous cervical spondylosis: A finite element analysis |
| title_fullStr | Type Id versus type IId three-level hybrid surgery for the treatment of noncontiguous cervical spondylosis: A finite element analysis |
| title_full_unstemmed | Type Id versus type IId three-level hybrid surgery for the treatment of noncontiguous cervical spondylosis: A finite element analysis |
| title_short | Type Id versus type IId three-level hybrid surgery for the treatment of noncontiguous cervical spondylosis: A finite element analysis |
| title_sort | type id versus type iid three level hybrid surgery for the treatment of noncontiguous cervical spondylosis a finite element analysis |
| topic | Cervical degenerative disease Hybrid surgery Finite element analysis |
| url | http://www.sciencedirect.com/science/article/pii/S221475192400029X |
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