两种齿状突切除术对颅颈交界区稳定性影响的有限元分析
作者:
作者简介:

骆纯,Email:boyluochun@126.com

基金项目:

湖北省自然科学基金项目青年基金(2015CFB382);武汉市中青年医学骨干人才培养工程


Finite element analysis of the effect of two kinds of odontoidectomy on the stability of cervical junction
  • 摘要
  • | |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
    摘要:

    目的通过构建上颈椎有限元模型研究两种齿状突切除术对颅颈交界区(craniocervical junction,CCJ)稳定性影响的生物力学差异。方法采用有限元软件构建Oc-C2的正常上颈椎实体模型,然后在正常模型的基础上构建常规齿状突切除模型及保留C1前弓的微创齿状突切除模型,进而在有限元软件ABAQUS v6.9.1.中分析各种模型的生物力学差异,从而得出齿状突切除术中保留C1前弓的生物力学优势。结果常规齿状突切除术对C1-C2的活动度影响较Oc-C1显著,各向活动度增加分别为前屈23%、后伸97%、侧弯231%、轴向旋转349%;对Oc-C1的稳定性同样有明显影响,其中Oc-C1后伸活动度影响最大,增加达196%。保留C1前弓的齿状突切除术可明显缩减C1-C2轴向旋转活动度的增加,实验中仅出现轻度代偿性的活动度减少;而其他方向活动度仍有异常的增加(Oc-C1后伸活动度增加167%、C1-C2侧弯活动度增加181%)。结论齿状突切除术对C1-C2的活动度影响显著,但对Oc-C1的活动度同样有明显影响。保留C1前弓的齿状突切除术可保护脊柱轴向旋转的活动度,但仍存在脊柱不稳定因素。

    Abstract:

    ObjectiveTo study the biomechanical impact of two different kinds of odontoidectomy on the stability of cervical junction through a validated finite element model of Oc-C2.MethodsA validated finite element model of Oc-C2 was constructed to study the biomechanical changes due to the surgery of traditional odontoidectomy and odontoidectomy with anterior C1 arch preservation. These models were analyzed in ABAQUS v6.9.1. to study the biomechanical impact of anterior C1 arch preservation.ResultsOdontoidectomy produced more motion increase at C1-C2 than Oc-C1. At C1-C2, the percentages of motion increase were 23%, 97%, 231% and 349% in flexion, extension, lateral bending and rotation. However, the motion increase at Oc-C1 was also significant, especially in extension with 196% increase than normal model. Odontoidectomy with preservation of anterior C1 arch preserved the motion of axial rotation at C1-C2, but the deviant increase also could be seen in extension at Oc-C1(167%) and bending at C1-C2 (181%).ConclusionsOdontoidectomy can produce more motion increase at C1-C2 than Oc-C1,but also produce significant motion increase at Oc-C1. Odontoidectomy with preservation of anterior C1 arch can preserve the axial rotation motion at C1-C2, but the abnormal increase can also be seen in other segmental motions.

    参考文献
    相似文献
    引证文献
引用本文

谢天浩,张新元,刘征,王在贵,伍杰,徐国政,马廉亭,骆纯.两种齿状突切除术对颅颈交界区稳定性影响的有限元分析[J].中国耳鼻咽喉颅底外科杂志,2016,22(6):442-446

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 在线发布日期: 2016-12-31
温馨提示

本刊唯一投稿网址:www.xyosbs.com
唯一办公邮箱:xyent@126.com
编辑部联系电话:0731-84327210,84327469
本刊从未委托任何单位、个人及其他网站代理征稿及办理其他业务联系,谨防上当受骗!

关闭