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International Journal for Multiscale Computational Engineering
Fator do impacto: 1.016 FI de cinco anos: 1.194 SJR: 0.554 SNIP: 0.82 CiteScore™: 2

ISSN Imprimir: 1543-1649
ISSN On-line: 1940-4352

International Journal for Multiscale Computational Engineering

DOI: 10.1615/IntJMultCompEng.2019030212
pages 411-427

EFFECTS OF CERVICAL DISC REPLACEMENT AND ANTERIOR FUSION FOR DIFFERENT BONE CONDITIONS: A FINITE ELEMENT STUDY

Jayanta Kumar Biswas
Department of Mechanical Engineering, JIS College of Engineering, Kalyani–741235, West Bengal, India
Sandipan Roy
Department of Mechanical Engineering, SRM Institute of Science and Technology, Kattankulathur, Chennai 603203, India
Rururaj Pradhan
Department of Ocean Engineering and Naval Architecture, Indian Institute of Technology, Kharagpur–721302, India
Masud Rana
Department of Aerospace Engineering and Applied Mechanics, Indian Institute of Engineering Science and Technology, Shibpur, Howrah–711103, India
Sourav Majumdar
Department of Mechanical Engineering, JIS College of Engineering, Kalyani–741235, West Bengal, India

RESUMO

For the treatment of cervical degenerative disc diseases, a surgical method is adopted when nonsurgical methods fail to provide the required comfort to the patients. Surgical correction consists of two methods: (i) fusion of two or more vertebrae levels using anterior cervical fixation plates commonly called anterior cervical decompression and fusion (ACDF) surgery and (ii) the total replacement of the diseased disc commonly called total disc replacement (TDR) surgery. ACDF is aimed at inhibiting the motion of the diseased segment; whereas, TDR uses a ball and socket device to restore the motion of the segment. The purpose of this study is to investigate the effect of bone condition on the two types of surgical techniques (TDR and ACDF or fusion) in cervical spine. An accurate 3D model of the cervical spine along with part of skull and first thoracic vertebra (C0-T1) is developed and subsequently used for finite element analysis of two different reconstructs. Compressive load along with various rotational moments simulating different spine motions were applied. Finite element analysis (FEA) has shown that variation of bone quality had the least effect in the stress profile, but it had a decreasing trend in the case of strain. Because of greater stresses on the bone, fusion surgery should not be a convenient method of surgical intervention for weak bone. For weak bone, TDR surgery is the most preferred option.

Referências

  1. Bhattacharya, S., Roy, S., Rana, M., Banerjee, S., Karmakar, S.K., and Biswas, J.K., Biomechanical Performance of a Modified Design of Dynamic Cervical Implant Compared to Conventional Ball and Socket Design of an Artificial Intervertebral Disc Implant: A Finite Element Study, J. Mech. Med. Biol., p. 1950017,2019. .

  2. Biswas, J.K., Rana, M., Majumder, S., Karmakar, S.K., and Roychowdhury, A., Effect of Two-Level Pedicle-Screw Fixation with Different Rod Materials on Lumbar Spine: A Finite Element Study, J. Ortho. Sci., vol. 23, no. 2, pp. 258-265,2018. .

  3. Biswas, J.K., Sahu, T.P., Rana, M., Roy, S., Karmakar, S.K., Majumder, S., and Roychowdhury, A., Design Factors of Lumbar Pedicle Screws under Bending Load: A Finite Element Analysis, Biocybernet. Biomed. Eng., vol. 39, no. 1, pp. 52-62,2019. .

  4. Breme J., Biehl J., Metallic Biomaterials, in Handbook of Biomaterials Prop. SE-13, J. Black and G. Hastings, Eds., New York: Springer, pp. 135-144,1998. .

  5. Delamarter, R.B. and Zigler, J., Five-Year Reoperation Rates, Cervical Total Disc Replacement versus Fusion, Results of a Prospective Randomized Clinical Trial, Spine, vol. 38, no. 9, pp. 711-717,2013. .

  6. DiAngelo, D.J., Roberston, J.T., Metcalf, N.H., McVay, B.J., and Davis, R.C., Biomechanical Testing of an Artificial Cervical Joint and an Anterior Cervical Plate, Spine, vol. 28, pp. 314-323,2003. .

  7. Dmitriev, A.E., Cunningham, B.W., Hu, N., Sell, G., Vigna, F., and McAfee, P.C., Adjacent Level Intradiscal Pressure and Segmental Kinematics Following a Cervical Total Disc Arthroplasty: An In Vitro Human Cadaveric Model, Spine, vol. 30, no. 10, pp. 1165-1172,2005. .

  8. Faizan, A., Goel, V.K., Biyani, A., Garfin, S.R., and Bono, C.M., Adjacent Level Effects of Bi Level Disc Replacement, Bi Level Fusion and Disc Replacement Plus Fusion in Cervical Spine-A Finite Element Based Study, Clin. Biomech., vol. 27, no. 3, pp. 226-233,2012. .

  9. Fouad, H., In Vitro Evaluation of Stiffness Graded Artificial Hip Joint Femur Head in Terms of Joint Stresses Distributions and Dimensions: Finite Element Study, J. Mater. Sci.: Mater. Med., vol. 22, no. 6, pp. 1589-1598,2011. .

  10. Galbusera, F., Anasetti, F., Bellini, C.M., Costa, F., and Fornari, M., The Influence of the Axial, Antero-Posterior and Lateral Positions of the Center of Rotation of a Ball-and-Socket Disc Prosthesis on the Cervical Spine Biomechanics, Clin. Biomech., vol. 25, no. 5, pp. 397-401,2010. .

  11. Galbusera, F., Bellini, C.M., Raimondi, M.T., Fornari, M., and Assietti, R., Cervical Spine Biomechanics Following Implantation of a Disc Prosthesis, Med. Eng. Phys, vol. 30, no. 9, pp. 1127-1133,2008. .

  12. Hussain, M., Natarajan, R.N., An, H.S., and Andersson, G.B., Reduction in Segmental Flexibility Because of Disc Degeneration is Accompanied by Higher Changes in Facet Loads than Changes in Disc Pressure: A Poroelastic C5-C6 Finite Element Investigation, Spine J, vol. 10, no. 12, pp. 1069-1077,2010. .

  13. Izzo, R., Guarnieri, G., Guglielmi, G., and Muto, M., Biomechanics of the Spine. Part II: Spinal Instability, Eur. J. Radiol., vol. 82, no. 1,pp. 127-138,2013. .

  14. Jiang, H.B., Static and Dynamic Mechanics Analysis on Artificial Hip Joints with Different Interface Designs by the Finite Element Method, J. BionicEng, vol. 4, no. 2, pp. 123-131,2007. .

  15. Keaveny, T.M., Guo, X.E., Wachtel, E.F., McMahon, T.A., and Hayes, W.C., Trabecular Bone Exhibits Fully Linear Elastic Behavior and Yields at Low Strains, J. Biomech., vol. 27, no. 9, pp. 1127-1129,1994. .

  16. Malcolm, G.P., Surgical Disorders of the Cervical Spine: Presentation and Management of Common Disorders, J. Neurol. Neuro-surg. Psych., vol. 73, Suppl 1, pp. 134-141,2002. .

  17. Moramarco, V.D., del Palomar, A.P., Pappalettere, C., and Doblare, M., An Accurate Validation of a Computational Model of a Human Lumbosacral Segment, J. Biomech., vol. 43, no. 2, pp. 334-342,2010. .

  18. Morgan, E.F. and Keaveny, T.M., Dependence of Yield Strain of Human Trabecular Bone on Anatomic Site, J. Biomech., vol. 34, no. 5, pp. 569-577,2001. .

  19. Park, H.S., Lee, Y.J., Jeong, S.H., and Kwon, T.G., Density of the Alveolar and Basal Bones of the Maxilla and the Mandible, Am. J. Ortho. Dentofac. Ortho., vol. 133, no. 1,pp. 30-37,2008. .

  20. Roy, S., Das, M., Chakraborty, P., Biswas, J.K., Chatterjee, S., Khutia, N., and Chowdhury, A.R., Optimal Selection of Dental Implant for Different Bone Conditions Based on the Mechanical Response, Acta Bioeng. Biomech., vol. 19, no. 2, pp. 11-20, 2017. .

  21. Roy, S., Dey, S., Khutia, N., Chowdhury, A.R., and Datta, S., Design of Patient Specific Dental Implant Using FE Analysis and Computational Intelligence Techniques, Appl. Soft Comput., vol. 65, pp. 272-279,2018. .

  22. Shim, V.P.W., Yang, L.M., Liu, J.F., and Lee, V.S., Characterisation of the Dynamic Compressive Mechanical Properties of Cancellous Bone from the Human Cervical Spine, Int. J. Impact Eng., vol. 32, nos. 1-4, pp. 525-540,2005. .

  23. Toosizadeh, N., and Haghpanahi, M., Generating a Finite Element Model of the Cervical Spine: Estimating Muscle Forces and Internal Loads, Sci. Iranica, vol. 18, no. 6, pp. 1237-1245,2011. .

  24. Wheeldon, J.A., Pintar, F.A., Knowles, S., and Yoganandan, N., Experimental Flexion/Extension Data Corridors for Validation of Finite Element Models of the Young, Normal Cervical Spine, J. Biomech., vol. 39, no. 2, pp. 375-380,2006. .

  25. Womack, W., Leahy, P.D., Patel, V.V., and Puttlitz, C.M., Finite Element Modeling of Kinematic and Load Transmission Alterations Due to Cervical Intervertebral Disc Replacement, Spine, vol. 36, no. 17, pp. E1126-E1133,2011. .

  26. Yeung, J.T., Johnson, J.I., and Karim, A.S., Cervical Disc Herniation Presenting with Neck Pain and Contralateral Symptoms: A Case Report, J. Med. Case Rep., vol. 6, no. 1, p. 166,2012. .


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