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Article

Biomechanical effects of semi‑constrained integrated artificial discs on zygapophysial joints of implanted lumbar segments

  • Authors:
    • Sheng‑Nai Zheng
    • Qing-Qiang Yao
    • Li‑Ming Wang
    • Wen‑Hao  Hu
    • Bo Wei
    • Yan Xu
    • Dong‑Sheng Zhang
  • View Affiliations / Copyright

    Affiliations: Department of Orthopaedic Surgery, Nanjing Medical University Nanjing Hospital, Nanjing, Jiangsu 210029, P.R. China, Department of Orthopaedic Surgery, Nanjing Medical University Nanjing Hospital, Nanjing, Jiangsu 210029, P.R. China, Biomechanical Laboratory, Shanghai University, Shanghai 200444, P.R. China
  • Pages: 1423-1430
    |
    Published online on: September 26, 2013
       https://doi.org/10.3892/etm.2013.1313
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Abstract

This study aimed to optimize the design and application of semi‑constrained integrated artificial discs (SIADs) using a finite element (FE) analysis following implantation, wherein the zygapophysial joints of the segment were biomechanically reconstructed. An FE model of the L4‑L5 segment was constructed. Variations in the stresses on the discs and zygapophysial joints were observed during 5˚ anteflexion, 5˚ extension and 5˚ rotation under the 400‑N applied axial load. Stresses and load translation analyses of the discs and zygapophysial joints were conducted during anteflexion, extension and rotation under the 400‑N applied axial load. Following implantation of the lumbar segments, the stresses on the SIAD zygapophysial joints were not significantly different from those of physiological discs during anteflexion, and these were both marginally greater compared with those of non-constrained artificial discs (NADs). During extension, the increase in the stress on the SIAD zygapophysial joints was less than that on NAD zygapophysial joints. Stresses on the NAD zygapophysial joints were higher than those on SIAD and physiological discs during rotation. The stress on the SIAD zygapophysial joints was not significantly different from that on physiological discs during rotation. For SIADs and NADs, the stresses on the zygapophysial joints and the displacements of the discs were greater compared with those of the physiological discs during extension. The SIADs affected the variations in the stresses on the implanted segment more than the NADs, and the SIADs protected the zygapophysial joints of the implanted segment to a higher degree than the NADs.
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Copy and paste a formatted citation
Spandidos Publications style
Zheng SN, Yao Q, Wang LM, Hu WH, Wei B, Xu Y and Zhang DS: Biomechanical effects of semi‑constrained integrated artificial discs on zygapophysial joints of implanted lumbar segments. Exp Ther Med 6: 1423-1430, 2013.
APA
Zheng, S., Yao, Q., Wang, L., Hu, W., Wei, B., Xu, Y., & Zhang, D. (2013). Biomechanical effects of semi‑constrained integrated artificial discs on zygapophysial joints of implanted lumbar segments. Experimental and Therapeutic Medicine, 6, 1423-1430. https://doi.org/10.3892/etm.2013.1313
MLA
Zheng, S., Yao, Q., Wang, L., Hu, W., Wei, B., Xu, Y., Zhang, D."Biomechanical effects of semi‑constrained integrated artificial discs on zygapophysial joints of implanted lumbar segments". Experimental and Therapeutic Medicine 6.6 (2013): 1423-1430.
Chicago
Zheng, S., Yao, Q., Wang, L., Hu, W., Wei, B., Xu, Y., Zhang, D."Biomechanical effects of semi‑constrained integrated artificial discs on zygapophysial joints of implanted lumbar segments". Experimental and Therapeutic Medicine 6, no. 6 (2013): 1423-1430. https://doi.org/10.3892/etm.2013.1313
Copy and paste a formatted citation
x
Spandidos Publications style
Zheng SN, Yao Q, Wang LM, Hu WH, Wei B, Xu Y and Zhang DS: Biomechanical effects of semi‑constrained integrated artificial discs on zygapophysial joints of implanted lumbar segments. Exp Ther Med 6: 1423-1430, 2013.
APA
Zheng, S., Yao, Q., Wang, L., Hu, W., Wei, B., Xu, Y., & Zhang, D. (2013). Biomechanical effects of semi‑constrained integrated artificial discs on zygapophysial joints of implanted lumbar segments. Experimental and Therapeutic Medicine, 6, 1423-1430. https://doi.org/10.3892/etm.2013.1313
MLA
Zheng, S., Yao, Q., Wang, L., Hu, W., Wei, B., Xu, Y., Zhang, D."Biomechanical effects of semi‑constrained integrated artificial discs on zygapophysial joints of implanted lumbar segments". Experimental and Therapeutic Medicine 6.6 (2013): 1423-1430.
Chicago
Zheng, S., Yao, Q., Wang, L., Hu, W., Wei, B., Xu, Y., Zhang, D."Biomechanical effects of semi‑constrained integrated artificial discs on zygapophysial joints of implanted lumbar segments". Experimental and Therapeutic Medicine 6, no. 6 (2013): 1423-1430. https://doi.org/10.3892/etm.2013.1313
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