alexa Implications of Decompressive Surgical Procedures for Lumbar Spine Stenosis on the Biomechanics of the Adjacent Segment: A Finite Element Analysis

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Implications of Decompressive Surgical Procedures for Lumbar Spine Stenosis on the Biomechanics of the Adjacent Segment: A Finite Element Analysis

Aim of surgeries for Lumbar Spinal Stenosis (LSS) is to decompress spinal nerves and relieving symptoms of radiculopathy or myelopathy. Regularly after surgery, stenosis may progress in adjacent spinal segments, but the etiology of adjacent segment degeneration is still unclear. It is hypothesized that surgical approaches for LSS may alter the normal biomechanics of adjacent segments, eventually contributing to the development of stenosis. This study investigated implications of established decompressive surgical approaches on adjacent segments biomechanics. A realistic finite element model of a L1-L5 human lumbar spine was used to assess changes in spine segments’ biomechanics due to laminotomy and laminectomy surgeries. First, the model was validated by comparing its predictions to previously reported spine kinematic data obtained after multi-level laminotomy and laminectomy. Likewise using a hybrid loading protocol, segments’ kinematics, intradiscal pressure, and stress in flexionextension were investigated simulating single level (L4-L5) laminotomy and laminectomy procedures. Alterations of spine segments biomechanics due to laminotomy were minimal.

 

 

Implications of Decompressive Surgical Procedures for Lumbar Spine Stenosis on the Biomechanics of the Adjacent Segment: A Finite Element Analysis

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