Posterior Lumbar Interbody Fusion Versus Transforaminal Lumbar Interbody Fusion: Finite Element Analysis of the Vibration Characteristics of Fused Lumbar Spine. 2021

Wei Fan, and Li-Xin Guo, and Dan Zhao
School of Mechanical Engineering and Automation, Northeastern University, Shenyang, China. Electronic address: fanwei@mail.neu.edu.cn.

Previous studies have investigated biomechanical characteristics of the lumbar spine after different types of lumbar interbody fusion surgery under static loadings. However, very few have dealt with the whole-body vibration (WBV) condition that is typically present in vehicles. The aim of this study was to compare the influence of posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) on dynamic responses of the fused lumbar spine to vertical WBV. The PLIF and TLIF procedures with bilateral pedicle screw fixation at L4-L5 level were simulated by modifying a previously validated intact lumbar L1-S1 finite element model. The PLIF and TLIF models were subjected to a sinusoidal vertical load with a compressive follower preload, and computed for transient dynamic analysis. The obtained dynamic responses for the models at the fused and adjacent levels were collected and compared. The results showed that the contact force between endplate and cage was higher in the PLIF model than in the TLIF model, indicating that PLIF allowed for higher compressive load across the anterior structure. At fused L4-L5 level, the TLIF led to a higher stress in the endplate and posterior BPSF system than the PLIF. At adjacent L3-L4 level and L5-S1 level, the computed dynamic responses, in terms of stress and deformation, for the PLIF and TLIF models showed very few differences. This study may be helpful to quantify dynamic mechanical properties of the fused lumbar spine, and better understand biomechanical differences between the PLIF and TLIF procedures during vibration.

UI MeSH Term Description Entries
D008159 Lumbar Vertebrae VERTEBRAE in the region of the lower BACK below the THORACIC VERTEBRAE and above the SACRAL VERTEBRAE. Vertebrae, Lumbar
D003198 Computer Simulation Computer-based representation of physical systems and phenomena such as chemical processes. Computational Modeling,Computational Modelling,Computer Models,In silico Modeling,In silico Models,In silico Simulation,Models, Computer,Computerized Models,Computer Model,Computer Simulations,Computerized Model,In silico Model,Model, Computer,Model, Computerized,Model, In silico,Modeling, Computational,Modeling, In silico,Modelling, Computational,Simulation, Computer,Simulation, In silico,Simulations, Computer
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic
D013123 Spinal Fusion Operative immobilization or ankylosis of two or more vertebrae by fusion of the vertebral bodies with a short bone graft or often with diskectomy or laminectomy. (From Blauvelt & Nelson, A Manual of Orthopaedic Terminology, 5th ed, p236; Dorland, 28th ed) Spondylodesis,Spondylosyndesis,Fusion, Spinal,Fusions, Spinal,Spinal Fusions,Spondylodeses,Spondylosyndeses
D014732 Vibration A continuing periodic change in displacement with respect to a fixed reference. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Vibrations
D055959 Intervertebral Disc Degeneration Degenerative changes in the INTERVERTEBRAL DISC due to aging or structural damage, especially to the vertebral end-plates. Degenerative Disc Disease,Degenerative Intervertebral Discs,Degenerative Intervertebral Disks,Intervertebral Disk Degeneration,Disc Degeneration,Disc Degradation,Disk Degeneration,Disk Degradation,Degeneration, Disc,Degeneration, Disk,Degeneration, Intervertebral Disc,Degeneration, Intervertebral Disk,Degenerative Disc Diseases,Degenerative Intervertebral Disc,Degenerative Intervertebral Disk,Degradation, Disc,Degradation, Disk,Disc Degeneration, Intervertebral,Disc Degenerations,Disc Degradations,Disc Disease, Degenerative,Disc, Degenerative Intervertebral,Disk Degeneration, Intervertebral,Disk Degenerations,Disk Degradations,Disk, Degenerative Intervertebral,Intervertebral Disc Degenerations,Intervertebral Disc, Degenerative,Intervertebral Disk Degenerations,Intervertebral Disk, Degenerative
D020342 Finite Element Analysis A computer based method of simulating or analyzing the behavior of structures or components. Analysis, Finite Element,Analyses, Finite Element,Element Analyses, Finite,Element Analysis, Finite,Finite Element Analyses
D065289 Pedicle Screws BONE SCREWS to be used in the pedicle of the vertebral arch. Pedicle Screw,Screw, Pedicle,Screws, Pedicle

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