Finite element analysis of the lumbar destabilization following pedicle subtraction osteotomy

Claudia Ottardi, Fabio Galbusera, Andrea Luca, Liliana Prosdocimo, Maurizio Sasso, Marco Brayda-Bruno, Tomaso Villa

Research output: Contribution to journalArticlepeer-review

Abstract

This study aims to analyze the destabilization produced following a pedicle subtraction osteotomy (PSO), with a calibrated numerical model. A 30° resection was created on L3 and L4. Range of Motion (ROM) and the force acting on the vertebral body were calculated. Osteotomies consistently increased the ROMs. In the intact model, 87% of the compressive load was acting on the vertebral bodies whereas in the destabilized models all the load was on the fractured surface. Osteotomies at both levels induced a marked instability but the PSO at L4 seemed to have a greater influence on the ROM. Despite the significant deformity corrections which could be achieved with PSO, this technique needs further analyses.

Original languageEnglish
Pages (from-to)506-509
Number of pages3
JournalMedical Engineering and Physics
Volume38
Issue number5
DOIs
Publication statusPublished - May 2016

Keywords

  • Destabilization
  • Finite elements
  • Lumbar spine
  • Osteotomy
  • Pedicle subtraction osteotomy

ASJC Scopus subject areas

  • Biomedical Engineering
  • Biophysics

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