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dc.rights.licenseopenen_US
dc.contributor.authorZOT, François
dc.contributor.authorBEN-BRAHIM, Estelle
dc.contributor.authorSEVERYNS, Mathieu
hal.structure.identifierInstitut de Mécanique et d'Ingénierie [I2M]
dc.contributor.authorLEDOUX, Yann
IDREF: 102217890
hal.structure.identifierInstitut de Mécanique et d'Ingénierie [I2M]
dc.contributor.authorMESNARD, Michel
IDREF: 10601417X
dc.contributor.authorCAILLE, Laetitia
dc.contributor.authorSWENNEN, Cecile
dc.contributor.authorTEYSSEDOU, Simon
dc.contributor.authorABDOLLAH-YASSINE, Moufid
dc.contributor.authorGERMANEAU, Arnaud
dc.contributor.authorVENDEUVRE, Tanguy
dc.date.accessioned2024-01-29T15:43:42Z
dc.date.available2024-01-29T15:43:42Z
dc.date.issued2023-11-21
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/187615
dc.description.abstractEnIntroduction: Lumbar disc arthroplasty is a surgical procedure designed to treat degenerative disc disease by replacing the affected disc with a mobile prosthesis. Several types of implants fall under the term total disc replacement, such as balland-socket, mobile core or elastic prostheses. Some studies have shown that facet arthritis can develop after arthroplasty, without much precision on the mechanical impact of the different implant technologies on the facet joints. This study aims to create validated patient-specific finite element models of the intact and post-arthroplasty lumbar spine in order to compare the mechanical response of ball-and-socket and elastic prostheses. Methods: Intact models were developed from CT-scans of human lumbar spine specimens (L4-S1), and arthroplasty models were obtained by replacing the L4-L5 disc with total disc replacement implants. Pure moments were applied to reproduce physiological loadings of flexion/extension, lateral bending and axial rotation. Results: Models with ball-and-socket prosthesis showed increased values in both range of motion and pressure at the index level and lower values at the adjacent level. The mechanical behaviour of the elastic prosthesis and intact models were comparable. The dissipated friction energy in the facet joints followed a similar trend. Conclusion: Although both implants responded to the total disc replacement designation, the mechanical effects in terms of range of motion and facet joint loads varied significantly not only between prostheses but also between specimens. This confirms the interest that patient-specific surgical planning using finite element analysis could have in helping surgeons to choose the appropriate implant for each patient.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enArthroplasty
dc.subject.enBiomechanics
dc.subject.enFinite element
dc.subject.enLumbar spine
dc.subject.enPatient-specific
dc.title.enStudy of mechanical effects of lumbar disc arthroplasty on facet joints at the index level/adjacent levels by using a validated finite element analysis
dc.typeArticle de revueen_US
dc.subject.halSciences de l'ingénieur [physics]
bordeaux.journalFrontiers in Bioengineering and Biotechnologyen_US
bordeaux.hal.laboratoriesI2Men_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionBordeaux INPen_US
bordeaux.institutionCNRSen_US
bordeaux.institutionINRAEen_US
bordeaux.institutionArts et Métiersen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04431740
hal.version2
hal.date.transferred2024-02-02T09:18:00Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccCC BYen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Frontiers%20in%20Bioengineering%20and%20Biotechnology&rft.date=2023-11-21&rft.au=ZOT,%20Fran%C3%A7ois&BEN-BRAHIM,%20Estelle&SEVERYNS,%20Mathieu&LEDOUX,%20Yann&MESNARD,%20Michel&rft.genre=article


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