[1]张明才,陈博,石印玉,等.颈椎单节椎体平移错缝对颈椎主要结构应力影响的有限元分析[J].中医正骨,2020,32(04):1-8.
 ZHANG Mingcai,CHEN Bo,SHI Yinyu,et al.Influence of translational dislocation of single-segment cervical vertebral body on the stresses of main structures of cervical vertebra:a finite element analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2020,32(04):1-8.
点击复制

颈椎单节椎体平移错缝对颈椎主要结构应力影响的有限元分析()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期数:
2020年04期
页码:
1-8
栏目:
基础研究
出版日期:
2020-04-20

文章信息/Info

Title:
Influence of translational dislocation of single-segment cervical vertebral body on the stresses of main structures of cervical vertebra:a finite element analysis
作者:
张明才1陈博2石印玉1石瑛1王翔1陈东煜1熊轶喆1元唯安1王辉昊1詹红生1
(1.上海中医药大学附属曙光医院,上海 201203; 2.上海交通大学医学院附属瑞金医院伤骨科研究所,上海 200020)
Author(s):
ZHANG Mingcai1CHEN Bo2SHI Yinyu1SHI Ying1WANG Xiang1CHEN Dongyu1XIONG Yizhe1YUAN Weian1WANG Huihao1ZHAN Hongsheng1
1.Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China 2.Institute of Traumatology and Orthopedics of Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200020,China
关键词:
颈椎 颈椎病 骨错缝 应力物理 有限元分析 生物力学
Keywords:
cervical vertebrae cervical spondylosis mild malposition of bone and joint stressmechanical finite element analysis biomechanics
摘要:
探讨颈椎单节椎体平移错缝对颈椎主要结构应力的影响。方法:选取1名无颈部病变的健康志愿者,采用GE 64层螺旋CT机对该志愿者进行层厚0.625 mm的螺旋扫描及断层图像处理,扫描范围为颅底至C7椎体下缘。基于CT扫描数据,应用三维有限元建模处理软件建立正常颈椎三维有限元模型,并对模型进行有效性验证。基于建立的正常颈椎三维有限元模型,通过对各特定节段椎体分别进行平移运动(位移1.5 mm,不超过椎间盘1/4),模拟颈椎单节椎体平移错缝,获得颈椎单节椎体平移错缝三维有限元模型。基于Abaqus6.10有限元分析软件观察颈椎单节椎体平移错缝对椎动脉、脊髓、关节突关节、椎间盘等颈椎主要结构应力的影响。结果:①正常颈椎三维有限元模型验证结果。本研究所建立的正常颈椎三维有限元模型涉及744 628个单元、248 212个节点; 模型外观逼真,包含了颈椎椎体、椎板、棘突、横突、关节突、椎间盘、椎动脉、脊髓、韧带等重要解剖结构。模型具有良好的活动度,其前屈、后伸、侧屈、旋转活动度与经典文献报道的数据基本一致。②颈椎单节椎体平移错缝对颈椎主要结构应力的影响。颈椎单节椎体平移错缝会对椎动脉、脊髓、关节突关节及椎间盘的应力产生影响。C2平移错缝时椎动脉增加的应力最大(42.81 Pa),C6次之(30.62 Pa),C5最小(21.19 Pa)。C6平移错缝时脊髓增加的应力最大(32.12 Pa),C5次之(30.46 Pa),C1最小(5.59 Pa)。颈椎单节椎体平移错缝会对其上、下位关节突关节及椎间盘的应力产生影响,其下位关节突关节和椎间盘的应力大于上位关节突关节和椎间盘的应力。结论:颈椎单节椎体平移错缝后,椎动脉、脊髓、关节突关节及椎间盘等颈椎主要结构的应力均会受到影响。
Abstract:
Objective:To explore the influence of translational dislocation of single-segment cervical vertebral body on the stresses of main structures of cervical vertebra.Methods:A healthy volunteer without cervical lesions was selected.The spiral scanning was performed on the volunteer by using GE 64-MSCT with 0.625-mm slice thickness from skull base to inferior border of C7 vertebral body,and the tomographic image processing was carried out.Based on CT scanning data,a three-dimensional(3D)finite element model of normal cervical vertebra was built by using 3D finite element modeling and processing software,and its validity was verified.The translational dislocation of single-segment cervical vertebral body was simulated in the 3D finite element model of normal cervical vertebra,and a 3D finite element model of translational dislocation of single-segment cervical vertebral body was obtained.The influence of translational dislocation of single segment cervical vertebral body on stresses of main cervical structures including vertebral artery,spinal cord,zygapophyseal joint and intervertebral disc was observed by using Abaqus6.10 finite element analysis software.Results:The 3D finite element model of normal cervical vertebra involved 744,628 units and 248,212 nodes and included important anatomical structures such as cervical vertebral body,vertebral plate,spinous process,transverse process,articular process,intervertebral disc,vertebral artery,spinal cord and ligament,moreover,the model had very realistic appearance and good range of motion including anteflexion,backward extension,rotation and lateral flexion,which were basically consistent with the literature data.The stresses of vertebral artery,spinal cord,zygapophyseal joint and intervertebral disc can be affected by translational dislocation of single-segment cervical vertebral body.The vertebral artery had high-to-low increased stress when translational dislocation was performed on C2(42.81 Pa),C6(30.62 Pa)and C5(21.19 Pa)in turn.The spinal cord had high-to-low increased stress when translational dislocation was performed on C6(32.12 Pa),C5(30.46 Pa)and C1(5.59 Pa)in turn.The stresses of superior and inferior zygapophyseal joints and intervertebral discs can be affected by translational dislocation of single-segment cervical vertebral body,and the stresses of inferior zygapophyseal joint and intervertebral disc were greater than that of superior zygapophyseal joint and intervertebral disc.Conclusion:The stresses of main structure of cervical vertebra,including vertebral artery,spinal cord,zygapophyseal joint and intervertebral disc,can be affected by translational dislocation of single-segment cervical vertebral body.

参考文献/References:

[1] 冯天有.中西医结合治疗软组织损伤[M].北京:人民卫生出版社,1977:71-73.
[2] 田纪钧.错骨缝与筋出槽治疗术[M].北京:解放军卫生音像出版社,2011:179-181.
[3] 詹红生.颈椎相关疾病手法诊疗及研究中的若干问题探讨[J].中医正骨,2018,30(3):1-3.
[4] 张明才,詹红生,石印玉, 等.“骨错缝、筋出槽”理论梳理[J].上海中医药杂志,2009,43(11):59-62.
[5] 张明才,石印玉,王翔, 等.颈椎“骨错缝筋出槽”临床评价方法[J].上海中医药杂志,2010,44(7):29-32.
[6] 张明才,詹红生,石印玉,等.试论颈椎病“骨错缝”的影像学测量[J].上海中医药大学学报,2009,23(3):20-23.
[7] 张明才,詹红生,石印玉,等.基于“骨错缝、筋出槽”诊治椎间盘病症[J].中国骨伤,2008,21(6):441- 443.
[8] 张明才,石印玉,陈东煜,等.矫正关节突关节“骨错缝”手法治疗神经根型颈椎病的有效性研究[J].上海中医药杂志,2011,45(12):42-45.
[9] 张明才,吕思哲,程英武,等.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.
[10] 张明才,石印玉,王翔,等.颈椎生理曲度异常对颈椎病发病作用的病例对照研究[J].中国骨伤,2010,23(10):746-749.
[11] 张明才,石印玉,陈东煜,等.颈椎病患者寰枢关节骨错缝的临床诊治价值的研究[J].中国骨伤,2016,29(10):898-902.
[12] CARTER D R,HAYES W C.The compressive behavior of bone as a two-phase porous structure[J].J Bone Joint Surg Am,1977,59(7):954-962.
[13] HALLDIN P.Prevention and prediction of head and neck injury in traffic accidents-using experimental and numerical methods[D].Stockholm:KTH,2001.
[14] ZHANG Q H,TEO E C,NG H W.Development and validation of a C0-C7 FE complex for biomechanical study[J].J Biomech Eng,2005,127(5):729-735.
[15] DVORAK J,SCHNEIDER E,SALDINGER P,et al.Biomechanics of the craniocervical region:the alar and transverse ligaments[J].J Ortjop Res,1988,6(3):452-461.
[16] LEE C K,KIM Y E,LEE C S,et al.Impact response of the intervertebral disc in a finite-element model[J].Spine(Phila Pa 1976),2000,25(19):2431-2439.
[17] SCHMIDT H,KETTLER A,HEUER F,et al.Intradiscal pressure,shear strain,and fiber strain in the intervertebral disc ander combined loading[J].Spine(Phila Pa 1976),2007,32(7):748-755.
[18] PANJABI M M,CRISCO J J,VASAVADA A,et al.Mechanical properties of the human cervical spine as shown by three-dimensional load-displacement curves[J].Spine(Phila Pa 1976),2001,26(24):2692-2700.
[19] 张明才,石印玉,陈东煜,等.“石氏伤科”颈椎“骨错缝筋出槽” 矫正手法技术规范[J].上海中医药杂志,2015,49(5):4-7.
[20] PANJABI M M,NIBU K,CHOLEWICKI J.Whiplash injuries and the potential for mechanical instability[J].Eur Spine J,1998,7(6):484-492.
[21] PEARCY M J,HINDLE R J.New method for the non-invasive three-dimensional measurement of human back movement[J].Clinical Biomechaanica,1989,4(1):73-79.
[22] GROSS A R,LANGEVIN P,BURNIE S J,et al.Manipulation and mobilization for neck pain contrasted against an inactive control or another active treatment[J].Cochrane Database Syst Rev,2015,9(9):CD004249.
[23] ANDERST W J,DONALDSON W F 3rd,LEE J Y,et al.Three-dimensional intervertebral kinematics in the healthy young adult cervical spine during dynamic functional loading[J].J Biomech,2015,48(7):1286-1293.
[24] WANG H H,JIANG E Y,WANG K,et al.Shi's daoyin therapy for neck pain:a randomized controlled trial[J].Evidence-based Complementary and Alternative Medicine,2018(7):1-10.
[25] 邓真,牛文鑫,王辉昊,等.生物力学在中医骨伤手法治疗颈椎病中的应用[J].医用生物力学,2015,30(6):569-573.
[26] 王辉昊,陈博,詹红生,等.颈椎“筋出槽骨错缝”对椎动脉血流动力学作用的流固耦合分析[J].中华中医药杂志,2014,29(9):2970-2974.
[27] 王宽,邓真,王辉昊,等.力学测量在评估颈痛及手法治疗领域的应用[J].中国骨伤,2016,29(7):668-672.
[28] 沈知彼,王辉昊,王宽,等.颈椎定位旋转扳法对不同曲度颈椎内部结构应力的影响[J].中医正骨,2018,30(3):8-12.
[29] 吕智桢,孔令军,房敏.触诊在脊柱病“筋骨评估”中的重要性[J].中医正骨,2019,31(5):18-19.
[30] 王玮娃,吕立江,杨超,等.基于筋骨并治原则探讨青少年颈椎曲度异常的治疗[J].中医正骨,2019,31(1):26-27.

相似文献/References:

[1]刘建航,陈道云,黄勇,等.手法治疗颈源性头痛临床疗效的Meta分析[J].中医正骨,2016,28(01):28.
 LIU Jianhang,CHEN Daoyun,HUANG Yong,et al.A meta analysis on the clinical curative effect of manipulation on cervical headache[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(04):28.
[2]梅伟,高晓群.前路复位椎间植骨融合内固定术治疗 单节段下颈椎骨折脱位合并关节突交锁[J].中医正骨,2016,28(03):42.
[3]孙兰芬,王龙强,刘润宏,等.颈椎骨折脱位合并脊髓损伤截瘫患者的围手术期护理[J].中医正骨,2016,28(03):79.
[4]孙旗,吴齐飞,郑晨颖,等.颈椎前路手术后咽痛的防治进展[J].中医正骨,2016,28(05):22.
[5]郑宇,党建军,程宏毅,等.可调式颈椎固定牵引器个体化牵引结合中药湿热敷治疗椎动脉型颈椎病[J].中医正骨,2016,28(07):53.
[6]刘鑫,董博,欧国锋.刘德玉教授治疗椎动脉型颈椎病的经验[J].中医正骨,2016,28(07):75.
[7]赖忠维,谭佳,刘晓岚.中药封包外敷联合高压氧疗法治疗神经根型颈椎病[J].中医正骨,2016,28(09):35.
[8]郭骏,胡攀,任伟剑,等.后路椎间孔镜下开窗减压髓核摘除术治疗单节段神经根型颈椎病[J].中医正骨,2016,28(09):37.
[9]毕 锴.颈椎手法常见高危禁忌证的X线诊断[J].中医正骨,2016,28(08):73.
[10]邓真,王辉昊,王宽,等.C2~T1三维有限元模型的建立和验证[J].中医正骨,2016,28(10):1.
 DENG Zhen,WANG Huihao,WANG Kuan,et al.Establishment and verification of three-dimensional finite element model of C2-T1 vertebrae[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(04):1.

备注/Memo

备注/Memo:
(收稿日期:2019-10-25 本文编辑:李晓乐)基金项目:国家自然科学基金项目(81473702,81503596,81001528); 中医骨伤科学国家重点学科项目(100508); 上海市重中之重临床医学中心和重点学科建设项目(2017ZZ02024); 海派中医流派传承研究基地建设项目(ZY3-CCCX-1-1003); 上海市科学技术委员会科研计划项目(15401934100,16401970100); 上海市中医药新兴交叉学科资助计划项目(沪卫计中发[2017]024号); 上海市中西医临床协作试点项目(ZXYXZ-201703); 上海市卫生和计划生育委员会中医药科技创新项目(ZYKC201602006) 通讯作者:詹红生 E-mail:zhanhongsheng2010@163.com
更新日期/Last Update: 2020-07-31