Intervertebral disc spacers using bioactive ceramics have been used to treat degenerative spinal disease. Tooth-shaped spacers are commonly used to prevent migration, but there is a possibility of fracture when inserted or after insertion. Intervertebral disc spacers with either an isosceles triangle-shaped tooth (T1) or a right triangle-shaped tooth (T2) were used as a control group. The design factors for the experimental group were modified to prevent fractures induced by stress concentration, and the surfaces of the spacers were designed as either an isosceles triangle-shaped valley (V1) or a right triangle-shaped valley (V2). Linear analysis using finite element model (FEM) was performed, and Von Mises stress distribution was calculated by applying 1000 N of uniformly distributed load. Samples of the V2 design were made with bioactive glass-ceramics (BGS-7) and evaluated for compressive strength, fatigue degree, and impact strength. Von Mises stress was highest at the first tooth from the posterior side for the control group and at the center for the experimental group. Compared with the control group, the experimental group showed 18.4% and 82.5% reduction (V1 vs. T1 and V2 vs. T2, respectively) in the maximum stress at the bottom of the valleys. The FEM analysis revealed that the V2 design had the most even load distribution. The V2 samples with bioactive glass-ceramics were evaluated for compressive strength, and all six samples were not fractured up to 24 000 N. However, the average impact strength was 19.42 kN, suggesting that momentary force caused damage at a lower load than compression with a steady speed. The BGS-7 intervertebral disc spacer with V2 design was not fractured during the fatigue test at maximum pressure of 8000 N, R ≥10, 5 Hz, and 5 million cycles. These data confirm that the BGS-7 spacer with the V2 design may be clinically applicable. Collectively, the modified surface geometry of the experimental group significantly lowered Von Mises stress values at the bottom of the valleys, and thus the possibility of fracture by compressive load was greatly reduced. Also, impact during insertion was confirmed to cause fracture more easily, as the impact strength was lower than the compressive strength in the experimental group.

译文

:使用生物活性陶瓷的椎间盘垫片已被用于治疗退行性脊柱疾病。通常使用齿形垫片来防止迁移,但是在插入时或插入后可能会断裂。对照组使用具有等腰三角形齿(T1)或直角三角形齿(T2)的椎间盘垫片。修改了实验组的设计系数,以防止应力集中引起的断裂,并且将垫片的表面设计为等腰三角形凹谷(V1)或直角三角形凹谷(V2)。使用有限元模型(FEM)进行线性分析,并通过施加1000 N均匀分布的载荷来计算冯·米塞斯应力分布。使用生物活性玻璃陶瓷(BGS-7)制成V2设计的样品,并评估其抗压强度,疲劳度和冲击强度。冯·米塞斯(Von Mises)应力在对照组的后方第一颗牙齿和实验组的中心处最高。与对照组相比,实验组的谷底最大应力降低了18.4%和82.5%(分别为V1对T1和V2对T2)。有限元分析表明,V2设计的负载分布最均匀。评估了具有生物活性玻璃陶瓷的V2样品的抗压强度,在不超过24000 N的情况下,所有六个样品均未断裂。但是,平均冲击强度为19.42 kN,这表明瞬时力在低于负载的情况下会造成破坏,而压缩稳定的速度。在疲劳试验期间,最大压力为8000 N,R ≥10、5 Hz和5百万次循环时,具有V2设计的BGS-7椎间盘间隔物没有破裂。这些数据证实,具有V2设计的BGS-7垫片可在临床上应用。总的来说,实验组的修改后的表面几何形状显着降低了谷底的冯·米塞斯应力值,因此大大降低了因压缩载荷而破裂的可能性。另外,由于冲击强度比实验组的抗压强度低,因此可以确认插入时的冲击更容易引起破裂。

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