Objective To investigate the effectiveness of the micro-dynamic pedicle screw for the prevention of loosening between the screw and bone surface in lumbar spinal fusion.For this evaluation,the peek pull-out force(PPF)...Objective To investigate the effectiveness of the micro-dynamic pedicle screw for the prevention of loosening between the screw and bone surface in lumbar spinal fusion.For this evaluation,the peek pull-out force(PPF)after fatigue resistance testing at different cycles and semidiameter of screw insertion area of micro-CT image was compared between the micro-dynamic and traditional pedicle screws.Methods Forty lumbar vertebrae received a traditional pedicle screw on one side and a micro-dynamic pedicle screw on the other side as follows:15 vertebrae underwent instant pull-out testing(group A,traditional vs.group B,micro-dynamic);15 vertebrae underwent pull-out test after 5000-cyclic fatigue loading(group C,traditional vs.group D,micro-dynamic);and 10 vertebrae underwent pull-out test after 10000-cyclic fatigue loading(group E,traditional vs.group F,micro-dynamic).All vertebrae that after fatigue loading were scanned by using micro-ct to check the semidiameter of screw insertion area.The PPF,normalized PPF(PPFn),bone mineral density(BMD)and diameter of screw insertion area were compared between all groups.Results The BMD showed a weak significant correlation with PPF(r=0.252,P=0.024).The PPF in groups A and B(P=0.485),and groups C and D(P=0.184)did not show significant difference.However,the PPF in group F was significantly greater than that measured in group E(P=0.005).The PPFn of groups A,C,and E significantly decreased as the number of cycles increased(P=0.015).Meanwhile,the PPFn of groups B,D,and F remained consistent regardless of the number of cycles(P=0.367). The semidiameter of traditional pedicle screw insertion area was significantly larger than that of micro-dynamic pedicle screw insertion area(P<0.001).Conclusions This study compared the performance of a micro-dynamic pedicle screw versus that of a traditional pedicle screw using pull-out testing and micro-CT.The results showed that the micro-dynamic pedicle screw provides similar resistance in lowcycle fatigue testing and favorable resistance in high-cycle fatigue testing versus the traditional pedicle screw.The micro-dynamic pedicle screw provides stronger fixation stability versus the traditional pedicle screw,especially in high-cyclic fatigue loading condition versus the traditional pedicle screws.展开更多
Strengthening and toughening mechanisms in composite ceramics is complex. A change in a single parameter induces multiple property variations. The multiple changes in properties are often incompletely represented in t...Strengthening and toughening mechanisms in composite ceramics is complex. A change in a single parameter induces multiple property variations. The multiple changes in properties are often incompletely represented in theoretical models. This incompleteness in the parameter chosen fails to explain the mechanism of failure in composite ceramics. The exponential toughness function is used to represent the pull-out toughening mechanism, which dominates the crack growth resistance curve（R-curve）. The strengthening-toughening model is established based on the Mori-Tanaka method（M-T method）. The influence of inherent defects on toughness function and strength is analyzed by using this model. The theoretical result is compared with the experiment data. This model exactly reflects the change in strength. The theoretical result indicates that defects change the toughness function. Moreover, micro-cracks increase toughness size ac, and the strength of crack instable extensions acutely decreases as defect content increases. This presented model establishes the relationship among the important mechanical parameters of defect, strength, elastic modulus, and the R-curve.展开更多
基金supported by the National Natural Science Foundation of China ( 31670957)
文摘Objective To investigate the effectiveness of the micro-dynamic pedicle screw for the prevention of loosening between the screw and bone surface in lumbar spinal fusion.For this evaluation,the peek pull-out force(PPF)after fatigue resistance testing at different cycles and semidiameter of screw insertion area of micro-CT image was compared between the micro-dynamic and traditional pedicle screws.Methods Forty lumbar vertebrae received a traditional pedicle screw on one side and a micro-dynamic pedicle screw on the other side as follows:15 vertebrae underwent instant pull-out testing(group A,traditional vs.group B,micro-dynamic);15 vertebrae underwent pull-out test after 5000-cyclic fatigue loading(group C,traditional vs.group D,micro-dynamic);and 10 vertebrae underwent pull-out test after 10000-cyclic fatigue loading(group E,traditional vs.group F,micro-dynamic).All vertebrae that after fatigue loading were scanned by using micro-ct to check the semidiameter of screw insertion area.The PPF,normalized PPF(PPFn),bone mineral density(BMD)and diameter of screw insertion area were compared between all groups.Results The BMD showed a weak significant correlation with PPF(r=0.252,P=0.024).The PPF in groups A and B(P=0.485),and groups C and D(P=0.184)did not show significant difference.However,the PPF in group F was significantly greater than that measured in group E(P=0.005).The PPFn of groups A,C,and E significantly decreased as the number of cycles increased(P=0.015).Meanwhile,the PPFn of groups B,D,and F remained consistent regardless of the number of cycles(P=0.367). The semidiameter of traditional pedicle screw insertion area was significantly larger than that of micro-dynamic pedicle screw insertion area(P<0.001).Conclusions This study compared the performance of a micro-dynamic pedicle screw versus that of a traditional pedicle screw using pull-out testing and micro-CT.The results showed that the micro-dynamic pedicle screw provides similar resistance in lowcycle fatigue testing and favorable resistance in high-cycle fatigue testing versus the traditional pedicle screw.The micro-dynamic pedicle screw provides stronger fixation stability versus the traditional pedicle screw,especially in high-cyclic fatigue loading condition versus the traditional pedicle screws.
基金Supported by National Natural Science Foundation of China(Grant No11272355)
文摘Strengthening and toughening mechanisms in composite ceramics is complex. A change in a single parameter induces multiple property variations. The multiple changes in properties are often incompletely represented in theoretical models. This incompleteness in the parameter chosen fails to explain the mechanism of failure in composite ceramics. The exponential toughness function is used to represent the pull-out toughening mechanism, which dominates the crack growth resistance curve（R-curve）. The strengthening-toughening model is established based on the Mori-Tanaka method（M-T method）. The influence of inherent defects on toughness function and strength is analyzed by using this model. The theoretical result is compared with the experiment data. This model exactly reflects the change in strength. The theoretical result indicates that defects change the toughness function. Moreover, micro-cracks increase toughness size ac, and the strength of crack instable extensions acutely decreases as defect content increases. This presented model establishes the relationship among the important mechanical parameters of defect, strength, elastic modulus, and the R-curve.
