| 基于有限元模型研究椎骨错缝对颈椎病患者关节应力的影响 |
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Received:July 21, 2010
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张明才 |
ZHANG Ming-cai |
上海中医药大学附属曙光医院骨伤科，上海 200021 |
Department of Orthopaedics and Trauma,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China |
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| 吕思哲 |
LV Si-zhe |
上海交通大学软件学院 |
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| 程英武 |
CHENG Ying-wu |
上海中医药大学附属曙光医院骨伤科，上海 200021 |
Department of Orthopaedics and Trauma,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China |
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| 顾力栩 |
GU Li-xu |
上海交通大学软件学院 |
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| 詹红生 |
ZHAN Hong-sheng |
上海中医药大学附属曙光医院骨伤科，上海 200021 |
Department of Orthopaedics and Trauma,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China |
shgsyjs@139.com |
| 石印玉 |
SHI Yin-yu |
上海中医药大学附属曙光医院骨伤科，上海 200021 |
Department of Orthopaedics and Trauma,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China |
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| 王翔 |
WANG Xiang |
上海中医药大学附属曙光医院骨伤科，上海 200021 |
Department of Orthopaedics and Trauma,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China |
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| 黄仕荣 |
HUANG Shi-rong |
上海中医药大学附属曙光医院骨伤科，上海 200021 |
Department of Orthopaedics and Trauma,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China |
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| 期刊信息：《中国骨伤》2011年24卷，第2期，第128-131页 |
| DOI：10.3969/j.issn.1003-0034.2011.02.009 |
| 基金项目:1.国家自然基金青年基金项目(编号：81001528);2.国家重点基础研究发展计划(973)项目(编号：2007CB 512700) |
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目的：应用颈椎三维有限元模型，探讨颈椎“椎骨错缝”对颈椎病患者关节和椎间盘应力的影响。
方法：选取颈椎病患者，通过颈椎动静态触诊和X线判定发生“椎骨错缝”的患者1例(男，28岁),CT扫描C1-C7(层厚0.75 mm), 基于CT数据，应用特定三维有限元分析软件对椎骨错缝节段(C4-C6)进行三维有限元模型创建，基于本模型应用软件模拟临床手法矫正“错缝椎骨”C5,然后应用有限元分析软件计算和分析这一形变过程关节突关节和椎间盘的应力变化。
结果：错缝节段C5对相邻节段C4,5、C5,6的椎间盘和关节突关节的应力均发生改变，且C5,6椎间盘和关节突关节的应力均明显大于C4,5椎间盘和关节突关节受到的应力。
结论：“椎骨错缝”后易引起相应关节突关节和椎间盘的异常应力，而手法矫正“椎骨错缝”能有效改善异常应力分布。 |
| [关键词]:颈椎病 有限元分析 应力，物理 椎间盘 |
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| Study on the effect of vertebrae semi-dislocation on the stress distribution in facet joint and interuertebral disc of patients with cervical syndrome based on the three dimensional finite element model |
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Abstract:
Objective: To study the effect of vertebrae semi-dislocation on the stress distribution in facet joint and interuertebral disc of patients with cervical syndrome using three dimensional finite element model.
Methods: A patient with cervical spondylosis was randomly chosen,who was male,28 years old,and diagnosed as cervical vertebra semidislocation by dynamic and static palpation and X-ray,and scaned from C1 to C7 by 0.75 mm slice thickness of CT. Based on the CT data,the software was used to construct the three dimensional finite element model of cervical vertebra semidislocation(C4-C6). Based on the model,virtual manipulation was used to correct the vertebra semidislocation by the software,and the stress distribution was analyzed.
Results: The result of finite element analysis showed that the stress distribution of C5-6 facet joint and intervertebral disc changed after virtual manipulation.
Conclusion: The vertebra semidislocation leads to the abnormal stress distribution of facet joint and intervertebral disc. |
| KEYWORDS:Cervical spondylosis Finite element analysis Stress,mechanical Intervertebral disk |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张明才,吕思哲,程英武,顾力栩,詹红生,石印玉,王翔,黄仕荣.基于有限元模型研究椎骨错缝对颈椎病患者关节应力的影响[J].中国骨伤,2011,24(2):128~131 |
| 英文格式: | ZHANG Ming-cai,LV Si-zhe,CHENG Ying-wu,GU Li-xu,ZHAN Hong-sheng,SHI Yin-yu,WANG Xiang,HUANG Shi-rong.Study on the effect of vertebrae semi-dislocation on the stress distribution in facet joint and interuertebral disc of patients with cervical syndrome based on the three dimensional finite element model[J].zhongguo gu shang / China J Orthop Trauma ,2011,24(2):128~131 |
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