Please wait a minute...
 首页  期刊介绍 期刊订阅 联系我们
 
最新录用  |  预出版  |  当期目录  |  过刊浏览  |  阅读排行  |  下载排行  |  引用排行  |  百年期刊
Journal of Tsinghua University(Science and Technology)    2014, Vol. 54 Issue (5) : 685-689     DOI:
Orginal Article |
Biomechanical characteristics of a three-level cervical disc hybrid construct: An in vitro investigation
Weiqiang LIU1,2(),Congwei LV1,3,Ting PU3,Bin YAN4,Zhenhua LIAO2
1. Department of Biomedical Engineering, Tsinghua University, Beijing 100084, China
2. Research Institute of Tsinghua University in Shenzhen, Shenzhen 518057, China
3. Graduate School at Shenzhen, Tsinghua University, Shenzhen 518055, China
4. Shenzhen No.2 People's Hospital Shenzhen, Shenzhen 518049, China
Download: PDF(3186 KB)   HTML
Export: BibTeX | EndNote | Reference Manager | ProCite | RefWorks     Supporting Info
Guide   
Abstract  

This article describes the rules of motion of a human cervical disc after a 3-level hybrid construct. 7 cadaveric cervical spines (C2-T1) were initially tested in intact condition. Then, all patients had a 1-level (C4-C5) total disc replacement (TDR) followed by a 2-level (C3-C4 and C5-C6 segments) anterior cervical discectomy and fusion (ACDF). The movement differences among the 3-level hybrid construct, the intact disc and the 1-level TDR were compared with the 3-level hybrid construct and previous 3-level fusion data (dynamic and static plating systems). The comparisons show that the 3-level hybrid construct performs better than 3-level fusion.

Keywords artificial cervical intervertebral disc      anterior cervical plate      biomechanics      hybrid construct     
ZTFLH:     
Fund: 
Issue Date: 15 May 2014
Service
E-mail this article
E-mail Alert
RSS
Articles by authors
Weiqiang LIU
Congwei LV
Ting PU
Bin YAN
Zhenhua LIAO
Cite this article:   
Weiqiang LIU,Congwei LV,Ting PU, et al. Biomechanical characteristics of a three-level cervical disc hybrid construct: An in vitro investigation[J]. Journal of Tsinghua University(Science and Technology), 2014, 54(5): 685-689.
URL:  
http://jst.tsinghuajournals.com/EN/     OR     http://jst.tsinghuajournals.com/EN/Y2014/V54/I5/685
  
  
  
  
颈椎节段 Flex工况
3-Hybrid/% 滑动型/% 限制型/%
C2-C3 24.73 245.37 43.14
C3-C6 -17.98 -49.31 -69.53
C6-C7 21.53 19.77 58.45
C7-T1 65.26 160.08 183.33
  
颈椎节段 Ext工况
3-Hybrid/% 滑动型/% 限制型/%
C2-C3 2.57 42.28 23.46
C3-C6 -17.92 -35.45 -46.47
C6-C7 39.17 32.32 14.91
C7-T1 57.24 4.72 55.09
  
[1] 秦祥华. 宁海县中青年不同人群颈椎病发病率的调查研究[J]. 中国现代医生, 2012, 50(8): 13-15. QIN Xianghua. Investigation on the incidence of cervical spondylosis of different population of young and middle-aged in Ninghai county[J]. China Modern Doctor, 2012, 50(8): 13-15. (in Chinese)
url: http://www.cnki.com.cn/Article/CJFDTotal-ZDYS201208005.htm
[2] 姬洪全, 周方, 孙宇, 等. 青年颈椎病的临床特点及手术治疗[J]. 中国脊柱脊髓杂志, 2009, 19(2): 117-120 . JI Hongquan, ZHOU Fang, SUN Yu, et al.Characteristics of cervical spondylosis in youths and its surgical treatment[J]. Chinese Journal of Spine and Spinal Cord, 2009, 19(2): 117-120. (in Chinese)
url: http://www.cnki.com.cn/Article/CJFDTOTAL-ZJZS200902011.htm
[3] Barrey C, Campana S, Persohn S, et al.Cervical disc prosthesis versus arthrodesis using one-level, hybrid and two-level constructs: An in vitro investigation[J]. European Spine Journal, 2012, 21: 432-442.
url: http://dx.doi.org/10.1007/s00586-011-1974-4
[4] Cardoso M J, Mendelsohn A, Rosner M K. Cervical hybrid arthroplasty with 2 unique fusion techniques[J]. Journal of Neurosurgery: Spine, 2011, 15: 48-54.
url: http://dx.doi.org/10.3171/2011.3.SPINE10385
[5] Lee M J, Dumonski M, Phillips F M, et al.Disc Replacement adjacent to cervical fusion: A biomechanical comparison of hybrid construct versus two-level fusion[J]. Spine, 2011, 36(23): 1932-1939.
url: http://dx.doi.org/10.1097/BRS.0b013e3181fc1aff
[6] Cunningham B W, Hu N B, Zorn C M, et al.Biomechanical comparison of single-and two-level cervical arthroplasty versus arthrodesis: Effect on adjacent-level spinal[J]. The Spine Journal, 2010, 10(4): 341-349.
url: http://dx.doi.org/10.1016/j.spinee.2010.01.006
[7] Faizan A, Goel V K, Biyani A, et al.Adjacent level effects of bi level disc replacement, bi level fusion and disc replacement plus fusion in cervical spine-a finite element based study[J]. Cliniacal Biomechanics, 2012, 27(3): 226-233.
url: http://dx.doi.org/10.1016/j.clinbiomech.2011.09.014
[8] 尚鹏, 刘伟强, Fogel G R, 等. 滑动型与限制型颈椎前路固定板的生物力学实验研究[J]. 清华大学学报: 自然科学版, 2007, 47(3): 432-435. SHANG Peng, LIU Weiqiang, Fogel G R, et al.Biomechanical experimental study of dynamic and constrained cervical plates[J]. Journal of Tsinghua University: Science and Technology, 2007, 47(3): 432-435. (in Chinese)
url: http://www.cnki.com.cn/Article/CJFDTotal-QHXB200703032.htm
[9] 沈莹莹, 刘伟强, 韩大庆, 等. 颈椎前路单节段融合中加压钉和限制型固定板的力学特性[J]. 清华大学学报:自然科学版, 2009, 49(06): 888-891. SHEN Yingying, LIU Weiqiang, HAN Daqing, et al.In vitro biomechanical study of cervical compression staple and anterior constrained cervical plate using a single level fusion model of the cervical spine[J]. Journal of Tsinghua University: Science and Technology, 2009, 49(06): 888-891. (in Chinese )
url: http://www.cnki.com.cn/Article/CJFDTOTAL-QHXW200906026.htm
[10] Terai T, Faizan A, Sairyo K, et al.Operated and adjacent segment motions for fusion versus cervical arthroplasty[J]. Clinical Orthopaedics and Related Research, 2011, 469: 682-687.
url: http://dx.doi.org/10.1007/s11999-010-1646-4
[11] Fogel G R, LI Zhenyu, LIU Weiqiang, et al.In vitro evaluation of stiffness and load sharing in a two-level corpectomy: Comparison of static and dynamic cervical plates[J]. The Spine Journal, 2010, 10(5): 417-421.
url: http://dx.doi.org/10.1016/j.spinee.2010.02.004
[12] 薛清华, 刘伟强. 颈椎三节段融合术后相邻节段运动变化规律研究[J]. 北京生物医学工程, 2011, 30(2): 120-126. XUE Qinghua, LIU Weiqiang. Movement feature of adjacent segments after cervical three-segment fusion[J]. Beijing Biomedical Engineering, 2011, 30(2): 120-126. (in Chinese )
[1] PAN Feiyu, JIA Yanbing, YANG Menghui, LÜ Yifei, ZHAO Jun, HAO Zhixiu, WANG Rencheng. Lower-extremity movement biomechanical characteristics during in-bed rehabilitation[J]. Journal of Tsinghua University(Science and Technology), 2023, 63(12): 1984-1993.
[2] WANG Bo, HE Yangyang, NIE Bingbing, XU Shucai, ZHANG Jinhuan. Numerical investigation of vehicle occupant injury risks in underbody blast events[J]. Journal of Tsinghua University(Science and Technology), 2020, 60(11): 902-909.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
Copyright © Journal of Tsinghua University(Science and Technology), All Rights Reserved.
Powered by Beijing Magtech Co. Ltd