골밀도 변화에 따른 cage와 나사를 이용한 추체간 유합술의 유한요소 해석
FEM Analysis of Lumbar Interbody Fusion using the Cage and Screw in Relation to Bone Mineral Density
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초록
Cage와 나사를 이용하여 유합된 추체의 3차원 유한 요소 모델을 제작하여, 골밀도의 변화에 따른 골다공증과 cage의 위치 변화에 대해, Von-Mises 최대 응력과 최대 변형량을 살펴보았다. 그 결과 해면골의 강도가 증가함에 따라서, 피질골의 응력은 감소하고, 해면골에서의 응력은 증가하였다. 또한 cage의 위치의 변화에 따라서 추체의 응력 분포의 양상이 달라짐을 알 수 있었으며, 이를 통해 수술의 성공도를 높이고자 한다.
Abstract
Three dimensional finite element models of lumbar interbody fusion using cage and screwswere constructed for the simulation of stress distribution and maximum displacement. It is also performed to investigate the effects of osteoporosis and the location of cage on the stress distribution. It is known from the results that the increase of the strength of trabecular bone causes to decrease the stress of cortical bone and to increase the stress of trabecular bone. And it is found that the trend of stress distribution is changed by the change of location of cage and proper location of cage enhances the rate of operational success.
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