Biomechanical Characteristics of Internal Fixation Methods for Treating Thoracolumbar Burst Fractures / 医用生物力学

ABSTRACT

Objective To analyze the biomechanical characteristics of 3 different posterior internal fixation methods for treating thoracolumbar burst fracture by three-dimensional finite element (FE) method. Methods The FE fixation models of normal thoracolumbar, short-segment posterior fixation (SSPF), short-segment posterior fixation with intermediate screws at fractured level (SSPFI) and long-segment posterior fixation (LSPF) were established, respectively. The biomechanical characteristics of L1 centrum and the adjacent intervertebral disc under 6 kinds of motion states (spinal flexion, extension, lateral bending and axial rotation), in normal thoracolumbar model and 3 fixation models were compared by FE analysis. Results L1 centrum equivalent stress distributions in normal thoracolumbar model, SSPF model, SSPFI model, LSPF model were 31.63, 13.41, 110.35, 13.17 MPa, respectively. The maximum equivalent stress of adjacent intervertebral disc in normal thoracolumbar model was 3.84 MPa, which was located in L1-2 intervertebral disc; the maximum equivalent stress of adjacent intervertebral disc in 3 fixation models was 0.41, 0.36, 0.40 MPa, respectively, which was all located in T12-L1 intervertebral disc. Conclusions Fixation in short segment of the fractured vertebrae could lead to an increase of stress in the centrum. The stress of the adjacent intervertebral disc in 3 fixation models was smaller than that in normal spinal model.