Lenke1A/B型脊柱侧弯矫形生物力学计算分析
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Biomechanical Analysis and Calculation of Lenke1A/B Type Scoliosis Correction
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    摘要:

    目的 依据脊柱侧弯矫形受力原理,推导出脊柱侧弯矫形角与矫形力的函数关系式,能够快速计算得到脊柱矫形效果最佳的矫形力位置和大小,为脊柱侧弯矫形力的施加提供理论计算方法。方法 以脊柱侧弯CT断层扫面数据为基础,采集侧弯脊柱中轴线坐标点,借助MATLAB软件拟合出脊柱侧弯样条曲线,得到脊柱侧弯本构多项式,通过编程求出脊柱侧弯Cobb角的大小。根据脊柱生物力学实验数据及临床骨科医学资料,以弯曲梁模型等效脊柱侧弯主侧弯进行矫形受力分析计算研究。结果 推导出了在不同矫形力作用下,脊柱侧弯任意位置矫形力与矫形角度之间的函数关系式。利用函数关系式计算出脊柱的综合弹性模量为0.29 MPa。结论 通过计算分析为脊柱侧弯矫形过程中矫形力的加载位置、大小与矫形恢复角之间的关系提供可靠的力学理论依据。并可以根据不同的脊柱侧弯类型患者,对矫形角与矫形力函数关系式进行优化,得到优化的矫形力及加载位置。

    Abstract:

    Objective The functional relation between the correction angle and orthopedic force of scoliosis can be derived based on the force principle of scoliosis correction. The position and size of the orthopedic force with the best effect of spinal correction can be calculated to provide a theoretical calculation method for the application of orthopedic forces on scoliosis. Methods The coordinates of the scoliosis central axis were collected based on the computed tomography (CT) data of scoliosis. The spline curve of scoliosis was fitted using the MATLAB software. The scoliosis constitutive polynomial was obtained, and then, the scoliosis Cobb angle was calculated by programming. Based on the clinical medicine and experimental data of spinal biomechanics, a curved beam model was used for the correction calculation and analysis of scoliosis. Results The function relation between the orthopedic force and angle at any positions was derived at different orthopedic forces. The comprehensive elastic modulus of the spine was 0.29 MPa, as calculated by the function relation. Conclusions The calculation and analysis provided a reliable theoretical basis for the relationship between the loading position, size, and restoration angle of the orthopedic forces during scoliosis correction. For patients with different types of scoliosis, the function relation between the orthopedic angle and orthopedic force could be optimized to obtain the optimal orthopedic force and loading position.

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雷蕾,李文成,翟贇. Lenke1A/B型脊柱侧弯矫形生物力学计算分析[J].医用生物力学,2018,33(4):306-311

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  • 收稿日期:2017-08-31
  • 最后修改日期:2017-10-11
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  • 在线发布日期: 2018-08-29
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