Biomechanical evaluation of two fusion techniques based on finite element analysis: Percutaneous endoscopic and minimally invasive transforaminal lumbar interbody fusion
As a novel minimally invasive technique, percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) has been widely used in the treatment of lumbar degenerative diseases. The purpose of this study was to analyze these two operation types’ biomechanical performances of PE-TLIF and tradi...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
|
| Series: | Medicine in Novel Technology and Devices |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S259009352200025X |
| _version_ | 1828264628890632192 |
|---|---|
| author | Yang Yan Jiarui Li Jianhao Yu Yan Wang Hao Dong Yuqin Sun Xiaogang Wu Liming He Weiyi Chen Haoyu Feng |
| author_facet | Yang Yan Jiarui Li Jianhao Yu Yan Wang Hao Dong Yuqin Sun Xiaogang Wu Liming He Weiyi Chen Haoyu Feng |
| author_sort | Yang Yan |
| collection | DOAJ |
| description | As a novel minimally invasive technique, percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) has been widely used in the treatment of lumbar degenerative diseases. The purpose of this study was to analyze these two operation types’ biomechanical performances of PE-TLIF and traditional minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) using the finite element (FE) method. The intact FE models of L4-L5 were established and validated based on the CT images. On this basis, the FE models of MIS-TLIF and PE-TLIF were established and analyzed. It is demonstrated that for lumbar interbody fusion with the oblique asymmetrically implanted cage under bilateral pedicle screws and rods fixation, such as MIS-TLIF and PE-TLIF, different degrees of articular process resection have no significant effect on the cage subsidence, and the surgical segment can achieve similar stability. In addition, the maximum stress of the L4 inferior endplate of MIS-TLIF and PE-TLIF is greater than that of the L5 superior endplate, which indicates that MIS-TLIF and PE-TLIF can cause cage subsidence in the L4 inferior endplate. |
| first_indexed | 2024-04-13T04:27:44Z |
| format | Article |
| id | doaj.art-86339f79f55f441eb20667f005ff52a4 |
| institution | Directory Open Access Journal |
| issn | 2590-0935 |
| language | English |
| last_indexed | 2024-04-13T04:27:44Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Medicine in Novel Technology and Devices |
| spelling | doaj.art-86339f79f55f441eb20667f005ff52a42022-12-22T03:02:27ZengElsevierMedicine in Novel Technology and Devices2590-09352022-12-0116100138Biomechanical evaluation of two fusion techniques based on finite element analysis: Percutaneous endoscopic and minimally invasive transforaminal lumbar interbody fusionYang Yan0Jiarui Li1Jianhao Yu2Yan Wang3Hao Dong4Yuqin Sun5Xiaogang Wu6Liming He7Weiyi Chen8Haoyu Feng9College of Biomedical Engineering, Taiyuan University of Technology, Taiyuan, 030024, ChinaShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032, ChinaCollege of Biomedical Engineering, Taiyuan University of Technology, Taiyuan, 030024, ChinaCollege of Biomedical Engineering, Taiyuan University of Technology, Taiyuan, 030024, ChinaCollege of Biomedical Engineering, Taiyuan University of Technology, Taiyuan, 030024, ChinaCollege of Biomedical Engineering, Taiyuan University of Technology, Taiyuan, 030024, ChinaCollege of Biomedical Engineering, Taiyuan University of Technology, Taiyuan, 030024, China; Corresponding author.Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032, ChinaCollege of Biomedical Engineering, Taiyuan University of Technology, Taiyuan, 030024, ChinaShanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032, China; Corresponding author.As a novel minimally invasive technique, percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) has been widely used in the treatment of lumbar degenerative diseases. The purpose of this study was to analyze these two operation types’ biomechanical performances of PE-TLIF and traditional minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) using the finite element (FE) method. The intact FE models of L4-L5 were established and validated based on the CT images. On this basis, the FE models of MIS-TLIF and PE-TLIF were established and analyzed. It is demonstrated that for lumbar interbody fusion with the oblique asymmetrically implanted cage under bilateral pedicle screws and rods fixation, such as MIS-TLIF and PE-TLIF, different degrees of articular process resection have no significant effect on the cage subsidence, and the surgical segment can achieve similar stability. In addition, the maximum stress of the L4 inferior endplate of MIS-TLIF and PE-TLIF is greater than that of the L5 superior endplate, which indicates that MIS-TLIF and PE-TLIF can cause cage subsidence in the L4 inferior endplate.http://www.sciencedirect.com/science/article/pii/S259009352200025XPercutaneous endoscopic transforaminal lumbar interbody fusionMinimally invasive surgeryDegenerative lumbar diseasesFinite element analysisBiomechanics |
| spellingShingle | Yang Yan Jiarui Li Jianhao Yu Yan Wang Hao Dong Yuqin Sun Xiaogang Wu Liming He Weiyi Chen Haoyu Feng Biomechanical evaluation of two fusion techniques based on finite element analysis: Percutaneous endoscopic and minimally invasive transforaminal lumbar interbody fusion Medicine in Novel Technology and Devices Percutaneous endoscopic transforaminal lumbar interbody fusion Minimally invasive surgery Degenerative lumbar diseases Finite element analysis Biomechanics |
| title | Biomechanical evaluation of two fusion techniques based on finite element analysis: Percutaneous endoscopic and minimally invasive transforaminal lumbar interbody fusion |
| title_full | Biomechanical evaluation of two fusion techniques based on finite element analysis: Percutaneous endoscopic and minimally invasive transforaminal lumbar interbody fusion |
| title_fullStr | Biomechanical evaluation of two fusion techniques based on finite element analysis: Percutaneous endoscopic and minimally invasive transforaminal lumbar interbody fusion |
| title_full_unstemmed | Biomechanical evaluation of two fusion techniques based on finite element analysis: Percutaneous endoscopic and minimally invasive transforaminal lumbar interbody fusion |
| title_short | Biomechanical evaluation of two fusion techniques based on finite element analysis: Percutaneous endoscopic and minimally invasive transforaminal lumbar interbody fusion |
| title_sort | biomechanical evaluation of two fusion techniques based on finite element analysis percutaneous endoscopic and minimally invasive transforaminal lumbar interbody fusion |
| topic | Percutaneous endoscopic transforaminal lumbar interbody fusion Minimally invasive surgery Degenerative lumbar diseases Finite element analysis Biomechanics |
| url | http://www.sciencedirect.com/science/article/pii/S259009352200025X |
| work_keys_str_mv | AT yangyan biomechanicalevaluationoftwofusiontechniquesbasedonfiniteelementanalysispercutaneousendoscopicandminimallyinvasivetransforaminallumbarinterbodyfusion AT jiaruili biomechanicalevaluationoftwofusiontechniquesbasedonfiniteelementanalysispercutaneousendoscopicandminimallyinvasivetransforaminallumbarinterbodyfusion AT jianhaoyu biomechanicalevaluationoftwofusiontechniquesbasedonfiniteelementanalysispercutaneousendoscopicandminimallyinvasivetransforaminallumbarinterbodyfusion AT yanwang biomechanicalevaluationoftwofusiontechniquesbasedonfiniteelementanalysispercutaneousendoscopicandminimallyinvasivetransforaminallumbarinterbodyfusion AT haodong biomechanicalevaluationoftwofusiontechniquesbasedonfiniteelementanalysispercutaneousendoscopicandminimallyinvasivetransforaminallumbarinterbodyfusion AT yuqinsun biomechanicalevaluationoftwofusiontechniquesbasedonfiniteelementanalysispercutaneousendoscopicandminimallyinvasivetransforaminallumbarinterbodyfusion AT xiaogangwu biomechanicalevaluationoftwofusiontechniquesbasedonfiniteelementanalysispercutaneousendoscopicandminimallyinvasivetransforaminallumbarinterbodyfusion AT liminghe biomechanicalevaluationoftwofusiontechniquesbasedonfiniteelementanalysispercutaneousendoscopicandminimallyinvasivetransforaminallumbarinterbodyfusion AT weiyichen biomechanicalevaluationoftwofusiontechniquesbasedonfiniteelementanalysispercutaneousendoscopicandminimallyinvasivetransforaminallumbarinterbodyfusion AT haoyufeng biomechanicalevaluationoftwofusiontechniquesbasedonfiniteelementanalysispercutaneousendoscopicandminimallyinvasivetransforaminallumbarinterbodyfusion |