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    Please use this identifier to cite or link to this item: http://ir.lib.ncu.edu.tw/handle/987654321/50048


    Title: Biomechanical comparisons of different posterior instrumentation constructs after two-level ALIF: A finite element study
    Authors: Fan,CY;Hsu,CC;Chao,CK;Lin,SC;Chao,KH
    Contributors: 機械工程學系
    Date: 2010
    Issue Date: 2012-03-27 17:02:08 (UTC+8)
    Publisher: 國立中央大學
    Abstract: Anterior lumbar interbody fusion (ALIF) with cylindrical cages and supplemental posterior fixation has been widely used for internal disc derangement. However, most researchers have focused on single-level ALIF. Therefore, the biomechanical performance of various fixation constructs after two-level ALIF is not well characterized. This research used three-dimensional finite element models (FEM) with a nonlinear contact analysis to evaluate the initial biomechanical behavior of five types of fixation devices after two-level ALIF (L3/L4, L4/L5) under six loading conditions. These fixation constructs included a three-level pedicle screw and rod, a two-level translaminar facet screw, a two-level transfacet pedicle screw, a bisegmental pedicle screw and rod, and a bisegmental pedicle screw and rod with cross-linking. The FEM's developed in this study demonstrate that, compared to the other four types of posterior fixation constructs analyzed, the three-level pedicle screw and rod provide the best biomechanical stability. Both two-level facet screw fixation constructs showed unfavorable loading in lateral bending. For the construct of the three-level pedicle screw and rod, the middle-segment pedicle screw should not be omitted even though a cross-link is used. The two-level ALIF models with cages and posterior fixation constructs that we developed can be used to evaluate the initial biomechanical performance of a wide variety of posterior fixation devices prior to surgery. (C) 2009 IPEM. Published by Elsevier Ltd. All rights reserved.
    Relation: MEDICAL ENGINEERING & PHYSICS
    Appears in Collections:[機械工程學系] 期刊論文

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