腰椎爆裂骨折椎体松质骨内力学分布特点的有限元研究
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Character of stress distributions on vertebral cancellous bone in lumbar burst fracture: a finite element study
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    目的 运用有限元方法模拟腰椎爆裂骨折的过程,观察腰椎在轴向压缩载荷作用下松质骨内的应力分布情况。方法 建立正常人体胸腰段(T12~L2)运动节段的三维有限元模型,在T12椎体上表面施加不同等级的压力(0.4、0.6、0.8、1.0、1.2 kN),模拟腰椎爆裂骨折发生时椎体承受的不同等级的轴向压缩载荷。将连接椎体上下终板凹面顶点的连线7等分,在此基础上将L1椎体中的松质骨划分为7个具有统计节点的层面,每个统计层面划分成6个统计区。分别测量L1椎体松质骨内3个层面(第1、4、7层面)18个统计区的平均应力。在同一等级载荷下对3个层面内的平均应力进行单因素方差分析,分析腰椎椎体松质骨内不同载荷作用下的应力分布情况。结果 在5个不同等级载荷下,第1、7层松质骨平均应力分别与第4层比较有统计学意义(P<0.05),而第1、7层平均应力比较无统计学意义(P>0.05)。轴向加载时,相比第1、7层应力,椎体松质骨中间层面(第4层)应力最小。结论 腰椎在轴向压缩载荷作用下,椎体松质骨内存在应力集中的现象,接近椎体上下软骨板的松质骨应力较大,而椎体松质骨中间层面应力较小,椎体内应力集中分布在上下软骨板的特点与腰椎爆裂骨折所致终板破裂的生物力学机制相一致,提示腰椎椎体骨结构损伤可能与椎体内应力集中有关。

    Abstract:

    Objective To simulate the process of lumbar burst fracture by finite element method, and investigate stress distributions on the cancellous bone of lumbar vertebrae under axial compressive loads. Methods The 3D finite element model of normal human thoracolumbar motion segments (T12-L2) was established. Stress at different levels (0.4, 0.6, 0.8, 1.0, 1.2 kN) was applied on the surface of T12 thoracic vertebra to simulate the different axial compressive loads at the occurrence of lumbar burst fracture. The ligature between concave vertexes of the inferior and superior endplates was divided into 7 portions, and the cancellous bone of the L1 vertebra was then divided into 7 layers with each layer separated into 6 statistic zones. The average stress on 18 statistic zones at 3 layers (Layer 1, 4, 7) of the cancellous bone was calculated, respectively. The average stress on 3 layers under the same loads was analyzed by one-way ANOVA, and stress distribution on the cancellous bone of lumbar vertebrae under different loads was also analyzed. ResultsUnder axial loads at 5 different levels, the average stress on Layer 1 and Layer 7 had obvious statistical significance compared with that on Layer 4(P<0.05), but no significant difference between Layer 1 and Layer 7(P>0.05). The stress on the middle layer (Layer 4) was the minimum compared with that on Layer 1 and Layer 7. Conclusions Under axial compressive loads, the stress concentration occurred in the cancellous bone of lumbar vertebrae. The stress at adjacent vertebral endplates (inferior and superior endplates) was larger, while the stress on the middle layer was relatively smaller. The phenomenon that vertebral stress concentrating on inferior and superior endplates was consistent with the biomechanical mechanism of broken endplates caused by lumbar burst fracture, which indicates that the damage to lumbar structure may be related to the stress concentration on lumbar vertebrae.

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刘延东,毛景松,杨丽萍.腰椎爆裂骨折椎体松质骨内力学分布特点的有限元研究[J].医用生物力学,2016,31(1):45-49

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  • 收稿日期:2015-06-23
  • 最后修改日期:2015-08-05
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  • 在线发布日期: 2016-03-03
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