The biomechanical effects of S-type dynamic cage using Ti and PEEK for ACDF surgery on cervical spine varying loads.

Anterior cervical discectomy with fusion (ACDF) is the common method to treat the cervical disc degeneration. The most serious problems in the fusion cages are adjacent disc degeneration, loss of lordosis, pain, subsidence, and migration of the cage. The objective of our work is to develop the three...

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Publicado en:International Journal of Artificial Organs Vol. 44; no. 10; pp. 748 - 756
Autores principales: Manickam, Pechimuthu Susai, Roy, Sandipan
Formato: Journal Article
Publicado: Sage Publications Inc. Oct2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2021
      vid: 44
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: The biomechanical effects of S-type dynamic cage using Ti and PEEK for ACDF surgery on cervical spine varying loads.
      aug:
        au:
          Manickam, Pechimuthu Susai
          Roy, Sandipan
        affil: Department of Mechanical Engineering, College of Engineering and Technology, SRM Institute of Science and Technology, Kattankulathur, Tamilnadu, India
      sug:
        subj:
          Titanium
          Diskectomy
          Cervical Vertebrae Surgery
          Ketones
          Finite Element Analysis
          Polymers
          Range of Motion
          Kinematics
          Scales
          Interview Guides
          Questionnaires
      ab: Anterior cervical discectomy with fusion (ACDF) is the common method to treat the cervical disc degeneration. The most serious problems in the fusion cages are adjacent disc degeneration, loss of lordosis, pain, subsidence, and migration of the cage. The objective of our work is to develop the three-dimensional finite element (FE) model from C3-C6 and virtually implant a designed S-type dynamic cage at C4-C5 segment of the model. The dynamic cage design will provide mobility in the early stage after ACDF surgery. Titanium (Ti) and PEEK (polyether ether ketone) were used as the material property for the cages. We applied the physiological motions at different loads from 0.5, 1, 1.5, 2.0 Nm to evaluate the dynamic cage design and the biomechanical performances of the designed S-type dynamic cage. It was observed that in all the loading condition the range of motion in the adjacent level was maintained and the maximum stress at the adjacent disc was reduced. The clinical significance of the S-type dynamic cage is better stress profile at the fusion level and adjacent segments which translates into higher rate of fusion, lower risk of cage subsidence, lower risk of adjacent segment degeneration, and good mechanical stability.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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