脊髓受压损伤机制的三维有限元分析
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国家自然科学基金资助项目(81301292)


3D finite analysis on injury mechanism of spinal cord compression
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    摘要:

    目的 建立胸腰段脊髓的三维有限元模型,通过生物力学实验研究爆裂骨折时脊髓损伤的机制。方法 利用有限元仿真技术,对爆裂骨折时脊髓受压情况进行仿真模拟,并通过与已经验证的模型及体内、体外实验结果相对比的方式对仿真结果进行检验。结果 在爆裂骨折初期,脊髓白质的应变高于灰质。随着骨碎片位移的增加,灰质的应变逐渐上升,最终在骨碎片位移达到峰值时,白质的应变高于灰质。结论 脊柱发生爆裂骨折时,脊髓损伤的严重程度取决于脊髓后部组织的受累情况。脊髓前角(运动功能区)和后角(感觉功能区)发生创伤的顺序也对脊髓损伤的程度有重要影响。临床上,可以通过评估脊髓运动功能区和感觉功能区发生损伤的严重程度,更加准确判断患者病情。对于脊髓损伤过程中应变分布的进一步研究,能够在应对脊髓损伤时采取更为有效的治疗与预防措施。

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    Objective To construct 3D finite element model of the thoracolumbar spinal cord, and study the mechanism of spinal cord injury caused by burst fracture through biomechanical experiments. Methods The compression simulation on burst fracture was performed using finite element technology, and the results were verified by comparing the tested models with the in vivo and in vitro experimental results. Results The strain distribution in white matter of the spinal cord was higher than that in grey matter at the initial stage of burst fracture. As the displacement of bony fragments increased, the strain distribution in grey matter increased subsequently. But when the displacement of bony fragments finally reached the maximum, the strain in white matter was higher than that in grey matter. Conclusions Traumatic severity of the spinal cord during burst fracture is dependent on the posterior encroachment, and the traumatic procedure order for ventral horn (motor function) or dorsal horn (sensory function) of cord tissue also plays an important role in the evaluation. In clinical practice, the patient’s condition can be evaluated more accurately by assessing severity of the spinal motor and sensory functions. Further understanding on strain distribution in the spinal cord during the injury may inspire new strategies for treating or preventing spinal cord injury.

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徐超,严亚波,吴子祥,张扬,赵雄,裴国献,雷伟.脊髓受压损伤机制的三维有限元分析[J].医用生物力学,2014,29(4):306-312

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  • 收稿日期:2013-08-30
  • 最后修改日期:2013-11-08
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  • 在线发布日期: 2014-08-22
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