Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study

Study DesignExperimental study.PurposeThe study aimed to develop a finite element (FE) model to determine the stress on the discs adjacent to the fused segment following different types of floating lumbar spinal fusions.Overview of LiteratureThe quantification of the adjacent disc stress following d...
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Autor*in:	Gunti Ranga Srinivas [verfasserIn] Malhar N. Kumar [verfasserIn] Anindya Deb [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2017

Schlagwörter:	Lumbar vertebrae Spinal fusion Intervertebral disc Intervertebral disc degeneration

Übergeordnetes Werk:	In: Asian Spine Journal - Korean Spine Society, 2018, 11(2017), 4, Seite 538-547
Übergeordnetes Werk:	volume:11 ; year:2017 ; number:4 ; pages:538-547

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.4184/asj.2017.11.4.538

Katalog-ID:	DOAJ063932288

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245	1	0	\|a Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study
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520			\|a Study DesignExperimental study.PurposeThe study aimed to develop a finite element (FE) model to determine the stress on the discs adjacent to the fused segment following different types of floating lumbar spinal fusions.Overview of LiteratureThe quantification of the adjacent disc stress following different types of floating lumbar fusions has not been reported. The magnitude of the stress on the discs above and below the floating fusion remains unknown.MethodsA computer-aided engineering-based approach using implicit FE analysis was employed to assess the stress on the lumbar discs above and below the floating fusion segment (L4–L5) following anterior and posterior lumbar spine fusions at one, two, and three levels (with and without instrumentation).ResultsBoth discs suprajacent and infrajacent to the floating fusion experienced increased stress, but the suprajacent disc experienced relatively high stress level. Instrumentation increased the stress on the discs suprajacent and infrajacent to the floating fusion, but the magnitude of stress on the suprajacent disc remained relatively high.ConclusionsThe FE model was employed under similar loading and boundary conditions to provide quantitative data, which will be useful for clinicians to understand the probable long-term effects of floating fusions.
650		4	\|a Lumbar vertebrae
650		4	\|a Spinal fusion
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allfields	10.4184/asj.2017.11.4.538 doi (DE-627)DOAJ063932288 (DE-599)DOAJ37ec04216e4f45da94a57fa9fa66d3ca DE-627 ger DE-627 rakwb eng Gunti Ranga Srinivas verfasserin aut Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study DesignExperimental study.PurposeThe study aimed to develop a finite element (FE) model to determine the stress on the discs adjacent to the fused segment following different types of floating lumbar spinal fusions.Overview of LiteratureThe quantification of the adjacent disc stress following different types of floating lumbar fusions has not been reported. The magnitude of the stress on the discs above and below the floating fusion remains unknown.MethodsA computer-aided engineering-based approach using implicit FE analysis was employed to assess the stress on the lumbar discs above and below the floating fusion segment (L4–L5) following anterior and posterior lumbar spine fusions at one, two, and three levels (with and without instrumentation).ResultsBoth discs suprajacent and infrajacent to the floating fusion experienced increased stress, but the suprajacent disc experienced relatively high stress level. Instrumentation increased the stress on the discs suprajacent and infrajacent to the floating fusion, but the magnitude of stress on the suprajacent disc remained relatively high.ConclusionsThe FE model was employed under similar loading and boundary conditions to provide quantitative data, which will be useful for clinicians to understand the probable long-term effects of floating fusions. Lumbar vertebrae Spinal fusion Intervertebral disc Intervertebral disc degeneration Medicine R Malhar N. Kumar verfasserin aut Anindya Deb verfasserin aut In Asian Spine Journal Korean Spine Society, 2018 11(2017), 4, Seite 538-547 (DE-627)60349207X (DE-600)2502303-2 19767846 nnns volume:11 year:2017 number:4 pages:538-547 https://doi.org/10.4184/asj.2017.11.4.538 kostenfrei https://doaj.org/article/37ec04216e4f45da94a57fa9fa66d3ca kostenfrei http://www.asianspinejournal.org/upload/pdf/asj-11-538.pdf kostenfrei https://doaj.org/toc/1976-1902 Journal toc kostenfrei https://doaj.org/toc/1976-7846 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 4 538-547
spelling	10.4184/asj.2017.11.4.538 doi (DE-627)DOAJ063932288 (DE-599)DOAJ37ec04216e4f45da94a57fa9fa66d3ca DE-627 ger DE-627 rakwb eng Gunti Ranga Srinivas verfasserin aut Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study DesignExperimental study.PurposeThe study aimed to develop a finite element (FE) model to determine the stress on the discs adjacent to the fused segment following different types of floating lumbar spinal fusions.Overview of LiteratureThe quantification of the adjacent disc stress following different types of floating lumbar fusions has not been reported. The magnitude of the stress on the discs above and below the floating fusion remains unknown.MethodsA computer-aided engineering-based approach using implicit FE analysis was employed to assess the stress on the lumbar discs above and below the floating fusion segment (L4–L5) following anterior and posterior lumbar spine fusions at one, two, and three levels (with and without instrumentation).ResultsBoth discs suprajacent and infrajacent to the floating fusion experienced increased stress, but the suprajacent disc experienced relatively high stress level. Instrumentation increased the stress on the discs suprajacent and infrajacent to the floating fusion, but the magnitude of stress on the suprajacent disc remained relatively high.ConclusionsThe FE model was employed under similar loading and boundary conditions to provide quantitative data, which will be useful for clinicians to understand the probable long-term effects of floating fusions. Lumbar vertebrae Spinal fusion Intervertebral disc Intervertebral disc degeneration Medicine R Malhar N. Kumar verfasserin aut Anindya Deb verfasserin aut In Asian Spine Journal Korean Spine Society, 2018 11(2017), 4, Seite 538-547 (DE-627)60349207X (DE-600)2502303-2 19767846 nnns volume:11 year:2017 number:4 pages:538-547 https://doi.org/10.4184/asj.2017.11.4.538 kostenfrei https://doaj.org/article/37ec04216e4f45da94a57fa9fa66d3ca kostenfrei http://www.asianspinejournal.org/upload/pdf/asj-11-538.pdf kostenfrei https://doaj.org/toc/1976-1902 Journal toc kostenfrei https://doaj.org/toc/1976-7846 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 4 538-547
allfields_unstemmed	10.4184/asj.2017.11.4.538 doi (DE-627)DOAJ063932288 (DE-599)DOAJ37ec04216e4f45da94a57fa9fa66d3ca DE-627 ger DE-627 rakwb eng Gunti Ranga Srinivas verfasserin aut Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study DesignExperimental study.PurposeThe study aimed to develop a finite element (FE) model to determine the stress on the discs adjacent to the fused segment following different types of floating lumbar spinal fusions.Overview of LiteratureThe quantification of the adjacent disc stress following different types of floating lumbar fusions has not been reported. The magnitude of the stress on the discs above and below the floating fusion remains unknown.MethodsA computer-aided engineering-based approach using implicit FE analysis was employed to assess the stress on the lumbar discs above and below the floating fusion segment (L4–L5) following anterior and posterior lumbar spine fusions at one, two, and three levels (with and without instrumentation).ResultsBoth discs suprajacent and infrajacent to the floating fusion experienced increased stress, but the suprajacent disc experienced relatively high stress level. Instrumentation increased the stress on the discs suprajacent and infrajacent to the floating fusion, but the magnitude of stress on the suprajacent disc remained relatively high.ConclusionsThe FE model was employed under similar loading and boundary conditions to provide quantitative data, which will be useful for clinicians to understand the probable long-term effects of floating fusions. Lumbar vertebrae Spinal fusion Intervertebral disc Intervertebral disc degeneration Medicine R Malhar N. Kumar verfasserin aut Anindya Deb verfasserin aut In Asian Spine Journal Korean Spine Society, 2018 11(2017), 4, Seite 538-547 (DE-627)60349207X (DE-600)2502303-2 19767846 nnns volume:11 year:2017 number:4 pages:538-547 https://doi.org/10.4184/asj.2017.11.4.538 kostenfrei https://doaj.org/article/37ec04216e4f45da94a57fa9fa66d3ca kostenfrei http://www.asianspinejournal.org/upload/pdf/asj-11-538.pdf kostenfrei https://doaj.org/toc/1976-1902 Journal toc kostenfrei https://doaj.org/toc/1976-7846 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 4 538-547
allfieldsGer	10.4184/asj.2017.11.4.538 doi (DE-627)DOAJ063932288 (DE-599)DOAJ37ec04216e4f45da94a57fa9fa66d3ca DE-627 ger DE-627 rakwb eng Gunti Ranga Srinivas verfasserin aut Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study DesignExperimental study.PurposeThe study aimed to develop a finite element (FE) model to determine the stress on the discs adjacent to the fused segment following different types of floating lumbar spinal fusions.Overview of LiteratureThe quantification of the adjacent disc stress following different types of floating lumbar fusions has not been reported. The magnitude of the stress on the discs above and below the floating fusion remains unknown.MethodsA computer-aided engineering-based approach using implicit FE analysis was employed to assess the stress on the lumbar discs above and below the floating fusion segment (L4–L5) following anterior and posterior lumbar spine fusions at one, two, and three levels (with and without instrumentation).ResultsBoth discs suprajacent and infrajacent to the floating fusion experienced increased stress, but the suprajacent disc experienced relatively high stress level. Instrumentation increased the stress on the discs suprajacent and infrajacent to the floating fusion, but the magnitude of stress on the suprajacent disc remained relatively high.ConclusionsThe FE model was employed under similar loading and boundary conditions to provide quantitative data, which will be useful for clinicians to understand the probable long-term effects of floating fusions. Lumbar vertebrae Spinal fusion Intervertebral disc Intervertebral disc degeneration Medicine R Malhar N. Kumar verfasserin aut Anindya Deb verfasserin aut In Asian Spine Journal Korean Spine Society, 2018 11(2017), 4, Seite 538-547 (DE-627)60349207X (DE-600)2502303-2 19767846 nnns volume:11 year:2017 number:4 pages:538-547 https://doi.org/10.4184/asj.2017.11.4.538 kostenfrei https://doaj.org/article/37ec04216e4f45da94a57fa9fa66d3ca kostenfrei http://www.asianspinejournal.org/upload/pdf/asj-11-538.pdf kostenfrei https://doaj.org/toc/1976-1902 Journal toc kostenfrei https://doaj.org/toc/1976-7846 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 4 538-547
allfieldsSound	10.4184/asj.2017.11.4.538 doi (DE-627)DOAJ063932288 (DE-599)DOAJ37ec04216e4f45da94a57fa9fa66d3ca DE-627 ger DE-627 rakwb eng Gunti Ranga Srinivas verfasserin aut Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Study DesignExperimental study.PurposeThe study aimed to develop a finite element (FE) model to determine the stress on the discs adjacent to the fused segment following different types of floating lumbar spinal fusions.Overview of LiteratureThe quantification of the adjacent disc stress following different types of floating lumbar fusions has not been reported. The magnitude of the stress on the discs above and below the floating fusion remains unknown.MethodsA computer-aided engineering-based approach using implicit FE analysis was employed to assess the stress on the lumbar discs above and below the floating fusion segment (L4–L5) following anterior and posterior lumbar spine fusions at one, two, and three levels (with and without instrumentation).ResultsBoth discs suprajacent and infrajacent to the floating fusion experienced increased stress, but the suprajacent disc experienced relatively high stress level. Instrumentation increased the stress on the discs suprajacent and infrajacent to the floating fusion, but the magnitude of stress on the suprajacent disc remained relatively high.ConclusionsThe FE model was employed under similar loading and boundary conditions to provide quantitative data, which will be useful for clinicians to understand the probable long-term effects of floating fusions. Lumbar vertebrae Spinal fusion Intervertebral disc Intervertebral disc degeneration Medicine R Malhar N. Kumar verfasserin aut Anindya Deb verfasserin aut In Asian Spine Journal Korean Spine Society, 2018 11(2017), 4, Seite 538-547 (DE-627)60349207X (DE-600)2502303-2 19767846 nnns volume:11 year:2017 number:4 pages:538-547 https://doi.org/10.4184/asj.2017.11.4.538 kostenfrei https://doaj.org/article/37ec04216e4f45da94a57fa9fa66d3ca kostenfrei http://www.asianspinejournal.org/upload/pdf/asj-11-538.pdf kostenfrei https://doaj.org/toc/1976-1902 Journal toc kostenfrei https://doaj.org/toc/1976-7846 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2017 4 538-547
language	English
source	In Asian Spine Journal 11(2017), 4, Seite 538-547 volume:11 year:2017 number:4 pages:538-547
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topic_facet	Lumbar vertebrae Spinal fusion Intervertebral disc Intervertebral disc degeneration Medicine R
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authorswithroles_txt_mv	Gunti Ranga Srinivas @@aut@@ Malhar N. Kumar @@aut@@ Anindya Deb @@aut@@
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The magnitude of the stress on the discs above and below the floating fusion remains unknown.MethodsA computer-aided engineering-based approach using implicit FE analysis was employed to assess the stress on the lumbar discs above and below the floating fusion segment (L4–L5) following anterior and posterior lumbar spine fusions at one, two, and three levels (with and without instrumentation).ResultsBoth discs suprajacent and infrajacent to the floating fusion experienced increased stress, but the suprajacent disc experienced relatively high stress level. Instrumentation increased the stress on the discs suprajacent and infrajacent to the floating fusion, but the magnitude of stress on the suprajacent disc remained relatively high.ConclusionsThe FE model was employed under similar loading and boundary conditions to provide quantitative data, which will be useful for clinicians to understand the probable long-term effects of floating fusions.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Lumbar vertebrae</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Spinal fusion</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Intervertebral disc</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Intervertebral disc degeneration</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">R</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Malhar N. 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author	Gunti Ranga Srinivas
spellingShingle	Gunti Ranga Srinivas misc Lumbar vertebrae misc Spinal fusion misc Intervertebral disc misc Intervertebral disc degeneration misc Medicine misc R Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study
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topic_title	Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study Lumbar vertebrae Spinal fusion Intervertebral disc Intervertebral disc degeneration
topic	misc Lumbar vertebrae misc Spinal fusion misc Intervertebral disc misc Intervertebral disc degeneration misc Medicine misc R
topic_unstemmed	misc Lumbar vertebrae misc Spinal fusion misc Intervertebral disc misc Intervertebral disc degeneration misc Medicine misc R
topic_browse	misc Lumbar vertebrae misc Spinal fusion misc Intervertebral disc misc Intervertebral disc degeneration misc Medicine misc R
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title	Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study
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title_full	Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study
author_sort	Gunti Ranga Srinivas
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title_sort	adjacent disc stress following floating lumbar spine fusion: a finite element study
title_auth	Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study
abstract	Study DesignExperimental study.PurposeThe study aimed to develop a finite element (FE) model to determine the stress on the discs adjacent to the fused segment following different types of floating lumbar spinal fusions.Overview of LiteratureThe quantification of the adjacent disc stress following different types of floating lumbar fusions has not been reported. The magnitude of the stress on the discs above and below the floating fusion remains unknown.MethodsA computer-aided engineering-based approach using implicit FE analysis was employed to assess the stress on the lumbar discs above and below the floating fusion segment (L4–L5) following anterior and posterior lumbar spine fusions at one, two, and three levels (with and without instrumentation).ResultsBoth discs suprajacent and infrajacent to the floating fusion experienced increased stress, but the suprajacent disc experienced relatively high stress level. Instrumentation increased the stress on the discs suprajacent and infrajacent to the floating fusion, but the magnitude of stress on the suprajacent disc remained relatively high.ConclusionsThe FE model was employed under similar loading and boundary conditions to provide quantitative data, which will be useful for clinicians to understand the probable long-term effects of floating fusions.
abstractGer	Study DesignExperimental study.PurposeThe study aimed to develop a finite element (FE) model to determine the stress on the discs adjacent to the fused segment following different types of floating lumbar spinal fusions.Overview of LiteratureThe quantification of the adjacent disc stress following different types of floating lumbar fusions has not been reported. The magnitude of the stress on the discs above and below the floating fusion remains unknown.MethodsA computer-aided engineering-based approach using implicit FE analysis was employed to assess the stress on the lumbar discs above and below the floating fusion segment (L4–L5) following anterior and posterior lumbar spine fusions at one, two, and three levels (with and without instrumentation).ResultsBoth discs suprajacent and infrajacent to the floating fusion experienced increased stress, but the suprajacent disc experienced relatively high stress level. Instrumentation increased the stress on the discs suprajacent and infrajacent to the floating fusion, but the magnitude of stress on the suprajacent disc remained relatively high.ConclusionsThe FE model was employed under similar loading and boundary conditions to provide quantitative data, which will be useful for clinicians to understand the probable long-term effects of floating fusions.
abstract_unstemmed	Study DesignExperimental study.PurposeThe study aimed to develop a finite element (FE) model to determine the stress on the discs adjacent to the fused segment following different types of floating lumbar spinal fusions.Overview of LiteratureThe quantification of the adjacent disc stress following different types of floating lumbar fusions has not been reported. The magnitude of the stress on the discs above and below the floating fusion remains unknown.MethodsA computer-aided engineering-based approach using implicit FE analysis was employed to assess the stress on the lumbar discs above and below the floating fusion segment (L4–L5) following anterior and posterior lumbar spine fusions at one, two, and three levels (with and without instrumentation).ResultsBoth discs suprajacent and infrajacent to the floating fusion experienced increased stress, but the suprajacent disc experienced relatively high stress level. Instrumentation increased the stress on the discs suprajacent and infrajacent to the floating fusion, but the magnitude of stress on the suprajacent disc remained relatively high.ConclusionsThe FE model was employed under similar loading and boundary conditions to provide quantitative data, which will be useful for clinicians to understand the probable long-term effects of floating fusions.
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title_short	Adjacent Disc Stress Following Floating Lumbar Spine Fusion: A Finite Element Study
url	https://doi.org/10.4184/asj.2017.11.4.538 https://doaj.org/article/37ec04216e4f45da94a57fa9fa66d3ca http://www.asianspinejournal.org/upload/pdf/asj-11-538.pdf https://doaj.org/toc/1976-1902 https://doaj.org/toc/1976-7846
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up_date	2024-07-03T20:18:50.822Z
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Instrumentation increased the stress on the discs suprajacent and infrajacent to the floating fusion, but the magnitude of stress on the suprajacent disc remained relatively high.ConclusionsThe FE model was employed under similar loading and boundary conditions to provide quantitative data, which will be useful for clinicians to understand the probable long-term effects of floating fusions.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Lumbar vertebrae</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Spinal fusion</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Intervertebral disc</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Intervertebral disc degeneration</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">R</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Malhar N. 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