한국정밀공학회지 (Journal of the Korean Society for Precision Engineering)

  • 제23권8호
  • /
  • Pages.185-194
  • /
  • 2006
  • /
  • 1225-9071(pISSN)
  • /
  • 2287-8769(eISSN)
한국정밀공학회 (Korean Society for Precision Engineering)
권호 표지

골밀도를 고려한 척추성형술의 생체역학적 평가

Biomechanical Evaluation of the Vertebroplasty Based on Bone Density

  • 발행 : 2006.08.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

In this paper, three dimensional finite element analyses have been performed to investigate the biomechanics of vertebroplasty in patient accurate FE models have been constructed from CT images of a PMMA injected vertebra. In order to apply various material properties of the spine(T12), the functional relation between the well known apparent density and HU(Hounsfield unit) from CT image were employed and thus real material properties can be assigned to each element of FE model. The FE analysis showed similar results with the experiments. With this approach accurate analysis of the vertebroplasty and its clinical applications can be expected.

키워드

참고문헌

  1. 대한정위기능신경외과학회， 이언 외 13 인，'척추성 통증의 최소침습적 치료，' 의학출판사，서울，pp. 127-134，2004
  2. Melton, L. J. 3rd, Kan, S. H., Frye, M. A., Wahner, H. W., O'Fallon, W. M. and Riggs, B. L., 'Epidemiology of vertebral fractures in women,' American Journal of Epidemiology, Vol. 129, No.5, pp. 1000-1011, 1989
  3. Jensen, M. E., Evans, A. J., Mathis, J. M., Kallmes, D. F., Cloft, H. J. and Dion, J. E., 'Percutaneous Polymethylmethacrylate Vertebroplasty in the Treatment of Osteoporotic Vertebral Body Compression Fractures: Technical Aspects,' American Journal of Neuroradiology, Vol. 18, No. 10, pp. 1897-1904, 1997.
  4. Gangi, A., Kastler, B. A. and Dietemann, J. L., 'Percutaneous vertebroplasty guided by a combination of CT and fluoroscopy,' American Journal of Neuroradiology, Vol. 15, No.1, pp. 83-86, 1994
  5. Ide, C., Gangi, A., Rimmelin, A., Beaujeux, R., Maitrot, D., Buchheit, F., Sellal, F. and Dietemann, J. L., 'Vertebral haemangiomas with spinal cord compression: the place of preoperative percutaneous vertebroplasty with methyl methacrylate,' Neuroradiology, Vol. 38, pp. 585-589, 1996 https://doi.org/10.1007/BF00626105
  6. Cotton, A., Boutry, N., Cortet, B., Assaker, R., Demondion, X., Leblond, D., Chastanet, P., Duquesnoy, B. and Deramond, H., 'Percutaneous vertebroplasty: state of the art,' RadioGraphics, Vol. 18, pp. 311-320, 1998
  7. Liebschner, M. A., Rosenberg, W. S. and Keaveny, T. M., 'Effects of bone cement volume and distribution on vertebral stiffness after vertebroplasty,' Spine, Vol. 26, No.14, pp. 1547-1554, 2001 https://doi.org/10.1097/00007632-200107150-00009
  8. Cotton, A., Dewatre, F., Cortet, B., Assaker, R., Leblond, D., Duquesnoy, B., Chastanet, P. and Clarisse, J., 'Percutaneous vertebroplasty for osteolytic metastases and myeloma: Effects of the percentage of lesion filling and the leakage of methyl methacrylate at clinical follow-up,' Radiology, Vol. 200, No. 2, pp. 525-530, 1996
  9. Kaemmerlen, P., Thiesse, P., Bouvard, H., Biron, P., ？Mornex, F. and Jonas, P., 'Vertebroplastie percutanee dans Ie traitement des metastases: technique et resultats,' Radiology, Vol. 70, pp. 557-562, 1989
  10. Ryu, J. H., Kim, H. S. and Lee, K. H., 'Contour based Algorithms for Generating 3D Models from CT Images,' Journal of the Korean Society of Precision Engineering, Vol. 20, No. 4, pp. 174-182, 2003
  11. Kwon, G. H., Chae, S. W. and Lee, K. J., 'Automatic generation of tetrahedral meshes from medical images,' Computers and Structures, Vol. 81, pp. 765-775, 2003 https://doi.org/10.1016/S0045-7949(02)00406-6
  12. Lee, J. H., Chae, S. W., Lee, T. S., Suh, J. G, Park, J. Y., Kim, S. D. and Lee, K. H., 'Biomechanical Evaluation of PMMA Injection Vertebroplasty,' Journal of Biomedical Engineering Research, Vol. 25, No.1, pp. 27-32, 2004 https://doi.org/10.2220/biomedres.25.27
  13. Kim, S. D., Park, J. Y., Kim, S. H., Suh, J. G, Lee, T. S. and Chae, S. W., 'Percutaneous Vertebroplasty for the Treatment of Osteoporotic Vertebral Compression Fractures : Recent 2-year Experience,' Korean Journal of Spine, Vol. 1, No.1, 2004
  14. Tack, G. R., Lee, S. Y., Lee, S. J., Jun, B. J., Lim, D. H., Shin, J. W., Kim, J. K. and Shin, K. C., 'Prediction of cement volume for vertebroplasty based on imaging and biomechanical results,' KSME International Journal, Vol. 15, No. 7, pp. 1041-1050, 2001.
  15. Hipp, J. A., Jansujwicz, A., Simmons, C. A. and Snyder, B. D., 'Trabecular bone morphology from micro-magnetic resonance imaging,' Journal of Bone and Mineral Research, Vol. 11, No. 2, pp. 286-97, 1996 https://doi.org/10.1002/jbmr.5650110218
  16. Sato, K., Kikuchi, S. and Yonezawa, T., 'In vivo intradiscal pressure measurement in healthy individuals and in patients with ongoing back problems,' Spine, Vol. 23, pp. 2468-2474, 1999 https://doi.org/10.1097/00007632-199912010-00008
  17. Antich, P. P., Mason, R. P., McColl, R., Zerwech, J. and Pak, C. Y. C., 'Trabecular architecture studies by 3D MRI microscopy in bone biopsies,' Journal of Bone and Mineral Research, Vol. 9(suppl 1), pp. 327, 1994
  18. Moon, H. W., Lee, M. K., Kim, J. K., Lee, T. S. and Choi, K. W., 'The Study of Changes in Compressive ？Strength of Trabecular Bone with PMMA Injection in Vertebroplasty,' Journal of Biomedical Engineering Research, Vol. 24, No. 4, pp. 369-373, 2003
  19. Song, S. H., Shim, C. G and Seo, H., 'The Change of Bone Mineral Density According to Aging in Korean Women,' The journal of Korean Orthopaedic Association, Vol. 35, No.2, pp. 277-282, 2000
  20. Moon, W. N., Oh, H. J. and Suh, S. W., 'Differences in Bone Mineral Density By Using Different Densitometers or by Measuring Different Sites of Spine in Osteoporotic Vertebral Fractures,' The journal of Korean Orthopaedic Association, Vol. 34, No.6, pp. 1153-1157, 1999
  21. Brinckmann, P., Frobin, W., Hierholzer, E. and Horst, M., 'Deformation of the vertebral end-plate under axial loading of the spine,' Spine, Vol. 8, pp. 851-856, 1983 https://doi.org/10.1097/00007632-198311000-00007