ABSTRACT
Spinal fusion surgeries have a high failure rate for difficult-to-fuse patients. A piezoelectric spinal fusion implant was developed to overcome the issues with other adjunct therapies. Stacked generators were used to improve power generation at low electrical load resistances. The effects of the number of layers on average maximum power and the optimal electrical load resistance were characterized. The effects of mechanical preload, load frequency, and amplitude on maximum power and optimal electrical load resistance were also characterized. Increasing the number of layers from one to nine was found to lower the optimal electrical load resistance from 1.00 GΩ to 16.78 MΩ while maintaining maximum power generation. Mechanical preload did not have a significant effect on power output or optimal electrical load resistance. Increases in mechanical loading frequency increased average maximum power, while decreasing the optimal electrical load resistance. Increases in mechanical loading amplitude increased average maximum power output without affecting the optimal electrical load resistance.
Subject(s)
Implants, Experimental , Models, Theoretical , Piezosurgery , Spinal Fusion , HumansABSTRACT
Failure rates of spinal fusion are high in smokers and diabetics. The authors are investigating the development of a piezoelectric composite biomaterial and interbody device design that could generate clinically relevant levels of electrical stimulation to help improve the rate of fusion for these patients. A lumped parameter model of the piezoelectric composite implant was developed based on a model that has been utilized to successfully predict power generation for piezoceramics. Seven variables (fiber material, matrix material, fiber volume fraction, fiber aspect ratio, implant cross-sectional area, implant thickness, and electrical load resistance) were parametrically analyzed to determine their effects on power generation within reasonable implant constraints. Influences of implant geometry and fiber aspect ratio were independent of material parameters. For a cyclic force of constant magnitude, implant thickness was directly and cross-sectional area inversely proportional to power generation potential. Fiber aspect ratios above 30 yielded maximum power generation potential while volume fractions above 15% showed superior performance. This investigation demonstrates the feasibility of using composite piezoelectric biomaterials in medical implants to generate therapeutic levels of direct current electrical stimulation. The piezoelectric spinal fusion interbody implant shows promise for helping increase success rates of spinal fusion.
