arXiv:2409.10778cs.RO2024-09被引 5

新型可弯曲椎弓根螺钉可绕过骨质疏松区,提升脊柱固定安全性。

Towards the Feasibility Analysis and Additive Manufacturing of a Novel Flexible Pedicle Screw for Spinal Fixation Procedures

  • 设计可弯曲螺钉,随导向钻机路径自然弯折,避开脆弱骨区。
  • 有限元分析与实验验证一致,弯曲性能达标。
  • 316L不锈钢激光烧结制造,适配临床复杂骨骼结构。

本文探讨了一种新型柔性椎弓根螺钉(FPS)在骨质疏松性椎体脊柱固定中的可行性。传统椎弓根螺钉因刚性结构及直线植入路径,常置入严重骨质疏松区域,导致螺钉松动,引发神经与呼吸问题。为此,本文设计一种可弯曲的FPS,能顺应导向钻机的曲形轨迹,避开高疏松区域。通过有限元分析(FEA)模拟其变形能力,采用直接金属激光烧结(DMLS)技术以316L不锈钢合金制造。最终对成品进行弯曲性能实验,并与仿真结果对比验证。结果表明,使用DMLS制造FPS可行,且仿真与实验数据高度一致。

原文摘要 · Abstract (English)

In this paper, we explore the feasibility of developing a novel flexible pedicle screw (FPS) for enhanced spinal fixation of osteoporotic vertebrae. Vital for spinal fracture treatment, pedicle screws have been around since the early 20th century and have undergone multiple iterations to enhance internal spinal fixation. However, spinal fixation treatments tend to be problematic for osteoporotic patients due to multiple inopportune variables. The inherent rigid nature of the pedicle screw, along with the forced linear trajectory of the screw path, frequently leads to the placement of these screws in highly osteoporotic regions of the bone. This results in eventual screw slippage and causing neurological and respiratory problems for the patient. To address this problem, we focus on developing a novel FPS that is structurally capable of safely bending to fit curved trajectories drilled by a steerable drilling robot and bypass highly osteoporotic regions of the vertebral body. Afterwards, we simulate its morphability capabilities using finite element analysis (FEA). We then additively manufacture the FPS using stainless steel (SS) 316L alloy through direct metal laser sintering (DMLS). Finally, the fabricated FPS is experimentally evaluated for its bending performance and compared with the FEA results for verification. Results demonstrate the feasibility of additive manufacturing of FPS using DMLS approach and agreement of the developed FEA with the experiments.

骨科器械3D打印生物力学

Thank you to arXiv for use of its open access interoperability. PaperDance 不是 arXiv 官方产品;中文卡片由大模型生成,请以原文为准。