青少年特发性脊柱侧凸有限元模型建立与活动度分析
Establishment of Finite Element Model and Range of Motion for Adolescent Idiopathic Scoliosis
DOI: 10.12677/mos.2025.141063, PDF,    科研立项经费支持
作者: 孙 昂, 程云章:上海理工大学健康科学与工程学院,上海;彭 飞*:海军军医大学第二附属医院(上海长征医院),护理部,上海
关键词: 脊柱侧凸有限元生物力学活动度Scoliosis Finite Element Biomechanics Vertebral Rotation
摘要: 研究背景:脊柱侧凸是一种人体脊柱在空间上产生弯曲变形的疾病,有的侧凸还伴随着椎体旋转,且严重时会伴随多种并发症。青少年特发性脊柱侧凸(AIS)即发生在青少年身上。作为一种高级的数学近似方法,有限元分析方法(FEA)已在生物力学领域研究中取得广泛应用。目前,导致脊柱侧凸发生的具体病因目前尚未明确。目的:本研究旨在建立一例脊柱侧凸模型,利用有限元技术得出其各个节段的活动度,将其与以往研究中正常脊柱的活动度对比。方法:获取一例AIS患者的CT数据,利用Mimics,Solidworks等软件对模型进行三维重建,利用Ansys软件得到其相应的活动度数值。结果:T1-T12节段椎体(正常无侧凸)的活动度与正常脊柱的高度相似,L1-L5节段椎体(侧凸部分)的活动度与正常脊柱的存在差异。结论:脊柱侧凸会对关节活动度造成影响。
Abstract: Research Background: Scoliosis is a disease in which the human spine bends and deforms in space, and some scoliosis is accompanied by vertebral rotation, and in severe cases, it can be accompanied by various complications. Adolescent idiopathic scoliosis (AIS) occurs in adolescents. As an advanced mathematical approximation method, finite element analysis (FEA) has been widely used in the field of biomechanics research. At present, the specific causes of scoliosis are not yet clear. Objective: This study aims to establish a scoliosis model and use finite element technology to obtain the range of motion of each segment, and compare it with the range of motion of normal spine in previous studies. Method: Obtain CT data of an AIS patient, use Mimics, Solidworks and other software to perform 3D reconstruction of the model, and use Ansys software to obtain its corresponding activity values. Result: The range of motion of the T1-T12 vertebral bodies (normal without scoliosis) is similar to the height of the normal spine, while the range of motion of the L1-L5 vertebral bodies (scoliosis) is different from that of the normal spine. Conclusion: Scoliosis can affect joint mobility.
文章引用:孙昂, 程云章, 彭飞. 青少年特发性脊柱侧凸有限元模型建立与活动度分析[J]. 建模与仿真, 2025, 14(1): 671-679. https://doi.org/10.12677/mos.2025.141063

参考文献

[1] 张聪, 田姗娜, 康杰, 等. 特发性脊柱侧凸患者背痛强度与临床和心理社会因素的关系[J]. 颈腰痛杂志, 2024, 45(4): 652-656.
[2] Patel, A., Oh, J., Leven, D., et al. (2018) Anatomical Modifications during the Lateral Transpsoas Approach to the Lumbar Spine. The Impact of Vertebral Rotation. International Journal of Spine Surgery, 12, 8-14.
[3] Xu, L., Qiu, Y., Chen, Z., Shi, B., Chen, X., Li, S., et al. (2018) A Re-Evaluation of the Effects of Dual Growing Rods on Apical Vertebral Rotation in Patients with Early-Onset Scoliosis and a Minimum of Two Lengthening Procedures: A CT-Based Study. Journal of Neurosurgery: Pediatrics, 22, 306-312. [Google Scholar] [CrossRef] [PubMed]
[4] 禤浚波, 梁英豪, 梁淑慧, 等. 基于改进U-Net和X光片的脊柱侧弯Cobb角自动测量算法研究[J/OL]. 基因组学与应用生物学: 1-15.
https://kns.cnki.net/kcms2/article/abstract?v=rdiHbV4QUxaPz3mUeSQBlY1891yLvdM337G3L-AOG8Gi4RuCGj9vTPaFXdveaNOrrtbIreLUpMzMgOYw6rpfd4P1o-tArS49YzTijihSRWjVpjjNjLTAns5j6cNV8ik3BBxa3yAeQaF8CP37Fwhlr7lx664mJWv5_D6Msf4QrCI=&uniplatform=NZKPT, 2024-05-14.
[5] 张瑜, 李忠海. 三维有限元法在脊柱生物力学中的应用现状[J]. 中国骨与关节杂志2020, 9(3): 220-224.
[6] Brekelmans, W.A.M., Poort, H.W. and Slooff, T.J.J.H. (1972) A New Method to Analyse the Mechanical Behaviour of Skeletal Parts. Acta Orthopaedica Scandinavica, 43, 301-317. [Google Scholar] [CrossRef] [PubMed]
[7] 赵俊勇, 赵曰峰, 司海朋. 有限元法探究骨质疏松患者在不同内固定方式下的稳定性[J]. 山东师范大学学报(自然科学版), 2019, 34(2): 236-242.
[8] 李硕, 苏鹏, 张力, 等. 三维重建和有限元分析股骨髁上截骨对矫治膝内翻有积极作用[J]. 中国组织工程研究, 2022, 26(6): 858-863.
[9] Viviani, G.R., Ghista, D.N., Lozada, P.J., Subbaraj, K. and Barnes, G. (1986) Biomechanical Analysis and Simulation of Scoliosis Surgical Correction. Clinical Orthopaedics and Related Research, 208, 40-47. [Google Scholar] [CrossRef
[10] Périé, D., Aubin, C.E., Lacroix, M., Lafon, Y. and Labelle, H. (2004) Biomechanical Modelling of Orthotic Treatment of the Scoliotic Spine Including a Detailed Representation of the Brace-Torso Interface. Medical & Biological Engineering & Computing, 42, 339-344. [Google Scholar] [CrossRef] [PubMed]
[11] 唐明星. Lenke1A-型青少年特发性脊柱侧凸有限元模型建立及其生物力学研究[D]: [博士学位论文]. 长沙: 中南大学, 2009.
[12] 易红蕾. 新型脊柱侧凸三维矩形支具的有限元分析、顺应性监测及临床应用初探[D]: [博士学位论文]. 重庆: 第二军医大学, 2014.
[13] 辛大奇. LENKE3型成人特发性脊柱侧凸有限元模型的建立及手术设计、模拟[J/OL]. 2019-09-30.
https://kns.cnki.net/kcms2/article/abstract?v=rdiHbV4QUxbn6nvGB-rgCKXcawMlnwtROq8f6oGGgJ96HQA8V3ZcFOB0PgWHRbfwUoQd5n6DdTkbiPg9QbQAp97CymoLCucw0GeJFaknPRJnTv9lBr1SkTKBySi_TltHpOHDCdpLhWYEnM_2V6ECn97VoEBgMQBzXubqjsMdGnA=&uniplatform=NZKPT, 2019-09-30.
[14] Gould, S.L., Cristofolini, L., Davico, G. and Viceconti, M. (2021) Computational Modelling of the Scoliotic Spine: A Literature Review. International Journal for Numerical Methods in Biomedical Engineering, 37, e3503. [Google Scholar] [CrossRef] [PubMed]
[15] Busscher, I., van Dieën, J.H., Kingma, I., van der Veen, A.J., Verkerke, G.J. and Veldhuizen, A.G. (2009) Biomechanical Characteristics of Different Regions of the Human Spine: An in Vitro Study on Multilevel Spinal Segments. Spine, 34, 2858-2864. [Google Scholar] [CrossRef] [PubMed]
[16] 范宁, 藏磊, 海涌, 杜鹏, 袁硕. 脊柱侧凸有限元建模方法的应用进展[J]. 中国骨伤, 2018, 31(4): 391-394.