Advances in micropillar arrays in cellular biomechanics detectionand tissue engineering

Cellular biomechanical features contributed to the occurrence and development of various physiological andpathological phenomena. Micropillar arrays have emerged as an important tool for both the assessment andmanipulation of cellular biomechanical characteristics. This comprehensive review provides an in-depthunderstanding of the fabrication methodologies of micropillar arrays and their applications in deciphering and finetuning cellular biomechanical properties and the innovative experimental platforms including organ-on-a-chip andorganoids-on-a-chip. This review provides novel insights into the potential of micropillar technology, poised toupdate the landscape of stem cell research and tissue engineering.

Transcriptomic analysis of molecular mechanisms underlying the biodegradation of organophosphorus pesticide chlorpyrifos by Lactobacillus delbrueckii ssp.bulgaricus in skimmed milk

Bioremediation of organophosphorus pesticides in contaminated foodstuffs using probiotics has been increasingly under the spotlight in recent years,though the biodegradation mechanism and derived intermediate products remain unclear.This study aimed to help fill this knowledge gap and examined the degradation mechanism of organophosphorus pesticide,chlorpyrifos,in milk by Lactobacillus delbrueckii ssp.bulgaricus using gas chromatography-tandem mass spectrometry(GC-MS/MS)combined with transcriptome analysis.After the strain was cultured for 20 h in the presence of chlorpyrifos,differential expressions of 383 genes were detected,including genes probably implicated during chlorpyrifos degradation such as those related to hydrolase,phosphoesterase,diphosphatase,oxidoreductase,dehydratase,as well as membrane transporters.GC-MS/MS analysis revealed the changes of secondary metabolites in L.bulgaricus during milk fermentation due to chlorpyrifos stress.6-Methylhexahydro-2H-azepin-2-one,2,6-dihydroxypyridine and methyl 2-aminooxy-4-methylpentanoate as intermediates,along with the proposed pathways,might be involved in chlorpyrifos biodegradation by L.bulgaricus.

Piezo1 as a potential player in intracranial hemorrhage:From perspectives on biomechanics and hematoma metabolism

Intracranial hemorrhage(ICH)causes numerous neurological deficits and deaths worldwide each year,leaving a significant health burden on the public.The pathophysiology of ICH is complicated and involves both primary and secondary injuries.Hematoma,as the primary pathology of ICH,undergoes metabolism and triggers biochemical and biomechanical alterations in the brain,leading to the secondary injury.Past endeavors mainly aimed at biochemical-initiated mechanisms for causing secondary injury,which have made limited progress in recent years,although ICH itself is also highly biomechanics-related.The discovery of the mechanically-activated cation channel Piezo1 provides a new avenue to further explore the mechanisms underlying the secondary injury.The current article reviews the structure and gating mechanisms of Piezo1,its roles in the physiology/pathophysiology of neurons,astrocytes,microglia,and bone-marrow-derived macrophages,and especially its roles in erythrocytic turnover and iron metabolism,revealing a potential interplay between the biomechanics and biochemistry of hematoma in ICH.Collectively,these advances provide deeper insights into the secondary injury of ICH and lay the foundations for future research.

Effects of biodegradation on diamondoid distribution in crude oils from the Bongor Basin,Chad

The sensitivity of biodegradation on diamondoids was investigated using a series of biodegraded oil samples from the Ronier tectonic unit of Bongor Basin,Chad.The results suggest that diamondoids,including adamantanes(As)and diamantanes(Ds),are relatively resistant to biodegradation and obvious biodegradation was observed in oils with a Peters-Moldowan(PM)biodegradation rank of 6 or more.Overall,the sensibility of biodegradation on diamondoids is generally similar to hopanes and regular steranes.As biodegradation evolves,the changes in concentration and components of diamondoids show that the biodegradation process is selective and stepwise.The significant increase of MD/MA and DMD/DMA for oils with a PM ranking 6^(+) indicates that diamantanes are generally more resistant to biodegradation than adamantanes.The similar trends of DMA/MA,EA/MA,MD/D,DMD/MD and other relevant indexes,show that higher alkylation homologs are more resistant to biodegradation.The commonly used diamondoid ratios,such as MAI,EAI,MDI and DMID-1,are obviously affected by biodegradation at the stage of high-level biodegradation,which may indicate that these ratios should be used with caution in case of severely degraded oils.

Changes in corneal biomechanics and posterior corneal surface elevation after FS-LASIK

AIM:To investigate the changes in corneal biomechanics and posterior corneal surface elevation after femtosecond laser-assisted in situ keratomileusis(FS-LASIK).METHODS:Totally 197 eyes of 100 patients who underwent the FS-LASIK from April 2022 to November 2022 were included.They were divided into three groups according to the ratio of residual corneal stroma thickness/corneal thickness(RCST/CT):Group I(50%≤RCST/CT<55%,63 eyes of 32 patients),Group II(55%≤RCST/CT<60%,67 eyes of 34 patients),and Group III(RCST/CT≥60%,67 eyes of 34 patients).The intraocular pressure(IOP),corneal compensated IOP(IOPcc),corneal hysteresis(CH)and corneal resistance factor(CRF)were measured immediately,1,and 3mo postoperatively by ocular response analyzer(ORA)and the posterior elevation difference(PED)was measured by Pentacam.RESULTS:After operation,IOP,CH,CRF,and PED were statistically different among the three groups(F=12.99,31.148,23.998,all P<0.0001).There was no statistically significant difference in IOPcc among the three groups(F=0.603,P>0.05).The IOP,IOPcc,CH,and CRF were statistical changed after surgery(F=699.635,104.125,308.474,640.145,all P<0.0001).The PED of Group I was significantly higher than that of Group II(P<0.05),and Group II was significantly higher than that of Group III(P<0.05).The PED value of 3mo after surgery decreased in each group compared with 1mo after surgery,but there was no statistical difference(Group I:t=0.82,P=0.41;Group II:t=0.17,P=0.87;Group III:t=1.35,P=0.18).The correlation analysis of corneal biomechanical parameter changes with PED at 1mo and 3mo after surgery showed thatΔIOP,ΔIOPcc,ΔCH,andΔCRF were not correlated with PED value in three groups(P>0.05).CONCLUSION:The smaller the RCST/CT,the greater effect on corneal biomechanics and posterior surface elevation.There is no correlation between changes in corneal biomechanics and posterior corneal surface elevation in the range of RCST/CT≥50%.

Biodegradation Behavior of Starch in Simulated White Water System of Old Corrugated Cardboard Pulping Process

Considering the serious barriers/issues induced by the accumulated starch generated in white water system of old corrugated cardboard(OCC)pulping process,large amounts of accumulated starch in white water would be decomposed by microorganisms and could not be utilized,thereby resulting in severe resource wastage and environmental pollution.This study mainly explored the effects of biodegradation/hydrolysis conditions of the two types of starch substrates(native starch and enzymatically(α-amylase)hydrolyzed starch),which were treated via microorganism degradation within the simulated white water from OCC pulping system and their biodegradation products on the key properties were characterized via X-ray diffraction(XRD),Fourier-transform infrared spectroscopy(FT-IR),and gel permeation chromatography(GPC)technologies.The effects of system temperature,pH value,starch concentration,and biodegradation time on starch biodegradation ratio and the characteristics of obtained biodegradated products from the two types of starches were studied.In addition,the effect ofα-amylase dosage on the biodegradation ratio of enzymatically hydrolyzed starch and its properties was investigated.It was found that the native starch presented a maximal degradation ratio at a system temperature of 55℃and pH value range of 5-7,respectively,the corresponding starch concentration within simulated white water system was 200 mg/L.Whereas the enzymatically hydrolyzed starch exhibited a highest degradation ratio at a system temperature of 50℃and pH value of 5.5,respectively,and the corresponding starch concentration within simulated white water system was 100 mg/L.It was verified that native starch is more readily bio-hydrolyzed and biodegradation-susceptive by microorganisms in simulated white water system of OCC pulping process,while the enzymatically hydrolyzed starch exhibits better biodegradation/hydrolysis resistance to the microbial degradation than that of native starch.This study provides a practical and interesting approach to investigate the starch hydrolysis or biodegradation behaviors in white water system of OCC pulping process,which would greatly contribute to the full recycling and valorized application of starch as a versatile additive during paperboard production.

Pregnancy-Induced Changes in Ocular Biomechanics Are Related to Maternal Hormone Levels in Healthy Chinese Pregnant Women

Background: To explore the changes in ocular biomechanics during pregnancy and the postpartum period and their association with maternal hormone level changes. Methods: In a prospective cohort study, 24 eyes of 12 pregnant women were enrolled and monitored throughout pregnancy and after delivery (6 weeks). Intraocular pressure (IOP), central corneal thickness (CCT), corneal endothelium cell (CEC), axial length (AL), corneal curvature (K1, K2), anterior chamber depth (ACD), central subfield thickness (CST), macular volume (MV), cube average thickness (CAT), retinal nerve fibre layer (RNFL), tear meniscus height (TMH), and breaking up time (BUT) were measured throughout pregnancy, and blood plasma levels of maternal hormones were determined at the same time points. Results: A gradual decrease in IOP values was observed as gestation progressed, and there was a statistically significant difference in IOP between the 3rd trimester and the 1st and 2nd trimester and postpartum (p = 0.002, p = 0.006, p = 0.050). There was a significant difference between the 1st and 2nd trimesters in terms of MV (p = 0.023). The difference in RNFL in the 3rd trimester and postpartum was significant (p = 0.011). The levels of the β-hCG showed a significant correlation with K2, ACD, and TMH only in the 2nd trimester (r = 0.588, p = 0.045;r = - 0.740, p = 0.006;r = 0.642, p = 0.024). Regarding luteinizing hormone, there was a negative correlation with MV in the 1st and 2nd trimesters (r = - 0.598, p = 0.040;r = - 0.672, p = 0.017) and CAT in the 1st and 2nd trimesters (r = - 0.599, p = 0.040;r = - 0.655, p = 0.021). Luteinizing hormone levels were correlated with ACD (r = - 0.702, p = 0.011) in the 2nd trimester and K2 (r = 0.585, p = 0.046) in the 3rd trimester. A correlation was found between follicle-stimulating hormone levels and CEC, MV and CAT in the 1st trimester (r = - 0.677, p = 0.016;r = - 0.602, p = 0.039;r = - 0.584, p = 0.046) and AL in the 3rd trimester (r = - 0.618, p = 0.032). The correlation between oestradiol and CST in the 1st trimester (r = - 0.621, p = 0.031) and RNFL (r = 0.594, p = 0.041) in the postpartum. A statistically significant correlation between progesterone and MV (r = 0.583, p = 0.047) and TMH (r = 0.762, p = 0.004) was observed in the 1st trimester. No significant intergroup correlation was observed postpartum (p > 0.05). Conclusion: Ophthalmological parameters showed physiological changes induced by hormone levels in pregnancy and returned to baseline levels after delivery.

Enhanced initial biodegradation resistance of the biomedical Mg-Cu alloy by surface nanomodification

Mg-Cu alloys are promising antibacterial implant materials.However,their clinical applications have been impeded by their high initial biodegradation rate,which can be alleviated using nanotechnology by for example surface nanomodification to obtain a gradient nanostructured surface layer.The present work(i)produced a gradient nanostructured surface layer with a∼500µm thickness on a Mg-0.2 Cu alloy by a surface mechanical grinding treatment(SMGT),and(ii)studied the biodegradation behavior in Hank's solution.The initial biodegradation rate of the SMGTed samples was significantly lower than that of the unSMGTed original counterparts,which was attributed to the surface nanocrystallization,and the fragmentation and re-dissolution of Mg_(2)Cu particles in the surface of the SMGTed Mg-0.2 Cu alloy.Furthermore,the SMGTed Mg-0.2 Cu alloy had good antibacterial efficacy.This work creatively used SMGT technology to produce a high-performance Mg alloy implant material.

A Comparative Investigation of the Biodegradation Behaviour of Linseed Oil-Based Cross-Linked Composites Filled with Industrial Waste Materials in Two Different Soils

The biodegradation of polymeric biocomposites formed from epoxidized linseed oil and various types of fillers(pine needles,pine bark,grain mill waste,rapeseed cake)and a control sample without filler was studied during 180 days of exposure to two types of forest soil:deciduous and coniferous.The weight loss,morphological,and structural changes of polymer composites were noticed after 180 days of the soil burial test.The greatest weight loss of all tested samples was observed in coniferous forest soil(41.8%–63.2%),while in deciduous forest soil,it ranged between 37.7%and 42.3%.The most significant changes in the intensities of the signals evaluated by attenuated total reflectance infrared spectroscopy,as well as morphological changes determined by scanning electron microscopy,were assessed for polymer composite with rapeseed cake and specimen without filler in coniferous forest soil and are in a good agreement with weight loss results.Whereas significantly lower changes in weight loss,morphology,and structure of polymeric film with pine bark were noticed in both soils.It was suggested that fungi of Trichoderma,Penicillium,Talaromyces and Clonostachys genera are the possible soil microorganisms that degrade linseed oil-based cross-linked polymer composites.Moreover,the novel polymer composites have the potential to be an environmentally friendly alternative to petroleum-based mulching films.

煤矿矿井水水质形成及演化的水动力场-水化学场-微生物场耦合作用与数值模拟

煤矿矿井水的水质形成与演化过程机理复杂,受水动力场、水化学场和微生物场等多场作用影响显著。深入研究并揭示煤矿矿井水水质形成机理与演化趋势、阐明采空区封闭后矿井水的多场耦合作用机制是矿井水污染防控与修复的理论基础。以鄂尔多斯盆地某煤矿采空区为水文地质原型,在前期研究的基础上,进一步建立了煤矿采空区积水水位回升、蓄满后水动力-水化学-微生物场(HCB)多场耦合室内相似模拟和数值模型。采空区水动力场研究结果表明基质-裂隙双孔隙模型能有效模拟采空区水位回升过程,模拟误差为9.9%,其模拟精度远高于理论预测和单孔隙模型。水化学场模拟结果与试验较为吻合,SO_(4)^(2-)、HCO_(3)-和p H模拟相对误差分别为3.0%、21.0%和6.2%,模拟结果较为可靠。模拟结果显示采空区蓄水过程中水岩反应和微生物作用不明显;而蓄满后水动力几乎停滞,但水化学场和微生物场较为活跃,2号煤和3号煤层中黄铁矿的氧化反应使得SO_(4)^(2-)质量浓度提升约24.6%;后期采空区水环境演化为弱酸性、厌氧还原条件,微生物降解作用凸显,将SO_(4)^(2-)有一定的“自净”能力。通过调整微生物代谢速率常数,可将SO_(4)^(2-)降解比例提高到61.6%。实际工程场景中可通过补充碳源、人工建立密闭厌氧环境等强化手段实现这一目标。将多场耦合室内试验和数值模拟技术拓展到煤矿采空区积水水质形成与演化规律研究,研究结论可为煤矿区矿井水污染防治提供指导。

Biodegradation of occluded hydrocarbons and kerogen macromolecules of the Permian Lucaogou shales,Junggar Basin,NW China

Three kerogen samples(JJZG-1,JJZG-2 and JJZG-3)isolated from the Permian Lucaogou shales of varying biodegradation levels(BLs≈0,3 and 7,respectively)were subjected to sequential stepwise pyrolysis combined with on-line detection of gas chromatography-mass spectrometry(GC-MS).Occluded fractions(bitumenⅡ)released at low-temperature steps(≥410℃)show consistent biodegradative signatures with that reported for solvent-extracted fractions(bitumenⅠ)of the original shales,e.g.,broad range of abundant n-alkanes,isoprenoids and regular hopanes for the non-biodegraded JJZG-1;trace n-alkanes and abundant hopanes for the moderately biodegraded JJZG-2;and no n-alkanes but still prominent hopanes including the microbially produced 25-nohopanes for the severely biodegraded JJZG-3.This consistency between bitumenⅡand bitumenⅠfractions indicates the biodegradability of the kerogenoccluded bitumenⅡwith limited protection from host kerogen.A minor level of protection was suggested by the trace distribution of n-alkanes in the bitumenⅡof JJZG-2,whereas the bitumenⅠhad no nalkanes.The kerogen itself was more resistant to biodegradation as reflected by the persistence of high abundances of both n-alkanes and hopanes in the high temperature(≥460℃)products of all three kerogen samples.However,the relative abundances of these product groups did show some evidence of biodegradation alteration,e.g.,ratios of n-C_(15)alkene/C_(27)hop-17(21)-ene at 510℃pyrolysis decreased by order of magnitude from the non-biodegraded(JJZG-1=27.4)to highly biodegraded(0.3 for JJZG-3)samples.The reduced biodegradation impact on the kerogen fraction(Cf.bitumen fractions)was also evident by the absence of 25-norhopanes in the high-temperature analysis of the JJZG-3 kerogen.

股骨颈骨折空心钉内固定后股骨近端骨质疏松的有限元分析

背景:股骨颈骨折空心钉内固定术后由于患肢短期内常常不能负重,且高刚度的内植物对骨折断端存在应力遮挡效应,易导致患肢出现骨质疏松,股骨近端生物力学分布发生变化,术后股骨头坏死发病率较高,目前关于股骨颈骨折术后股骨近端骨质疏松对股骨近端及空心钉生物力学影响的研究较少。目的:通过有限元分析探讨股骨颈骨折术后发生骨质疏松对空心钉内固定治疗的生物力学影响,探究生物力学因素在股骨头坏死进程中的作用。方法:获取1例股骨颈骨折患者股骨CT扫描数据,利用Mimics 19.0、3-Matic、UG 11.0、Hypermesh 14.0、Abaqus软件建立空心钉治疗股骨颈骨折的股骨近端模型,利用Abaqus软件分析1种术后股骨近端无骨质疏松、3种术后股骨近端骨质疏松的有限元模型,测量分析4种模型不同部件的应力、接触压力、位移峰值及云图,对比分析股骨头内部应力变化及分布情况。结果与结论:股骨头及下前空心钉的应力、接触压力随骨质疏松程度变化较大,4种模型的位移峰值随着骨质疏松程度加重而缓慢增长。通过单因素方差分析,结果显示骨质疏松程度对不同部件的应力、接触压力、位移峰值无显著性影响,股骨头内部应力分布随骨质疏松发生相应变化,股骨近端的生物力学环境变化对股骨头坏死有着重要影响。

脊柱生物力学2023年度研究进展

脊柱是人体最重要的骨骼结构之一。它具有保护脊髓、支持体重、减缓冲击,并允许躯干灵活运动的功能。脊柱生物力学研究对于全面认识脊柱结构功能、疾病发病机制意义重大。2023年,国内外学者开展了大量脊柱相关的生物力学研究,包括脊柱基础生物力学的认知,病理条件下脊柱力学特性改变,以及基于生物力学研究基础设计的各种治疗脊柱疾病办法。本文着重分析脊柱生物力学2023年度研究进展,并以几种较为典型的脊柱疾病或病理状态为例进行详解介绍。

顺行和逆行髓内钉治疗不同部位股骨干骨折的有限元分析

背景:髓内钉治疗股骨干骨折取得了较好的临床疗效,但仍有部分患者并发无菌性骨不连,其原因为机械性不稳定。股骨作为人体最长最大的骨骼,不同部位骨折是否具有不同的生物力学特征,及不同进钉方式对于不同部位骨折端稳定性存在何种影响均研究甚少。目的:分析顺行和逆行髓内钉治疗不同部位股骨干骨折的生物力学特点,评估最佳进钉方式,减少骨不连发生率。方法:选取一名志愿者CT资料导入Mimics 19.0和Geomagic studio 2017软件中进行提取、优化得到右侧股骨三维模型;运用Solidworks 2017软件画出顺行和逆行髓内钉模型并与不同骨折部位股骨干骨折模型按照标准手术技术装配,以STEP格式导入Abaqus 2017软件中设置材料属性参数、边界条件、施加载荷、提交运算,于可视化模块中查看结果。其中上段股骨干骨折顺行和逆行髓内钉分别为A1、A2模型,中段为B1、B2模型,下段为C1、C2模型。结果与结论:(1)A1、B1、C2模型股骨整体应力分布更为均匀,位移、骨折端间隙与成角、股骨近折端骨块内翻均更小;(2)对于上段和中段股骨干骨折,顺行髓内钉具有更好的生物力学效果;对于下段股骨干骨折,逆行髓内钉效果更优。

不同钉棒内固定方式在腰椎侧路融合中的有限元力学分析

背景:考虑到脊柱固定的稳定性,目前临床在进行侧路椎间融合时大多采用后路双边椎弓根螺钉固定的手术方式,且多数为两期手术完成。侧卧位的后路单侧、侧方椎体钉棒固定的固定方式,也有可能会提供较好的力学稳定性,所带来的手术时间缩短、风险与花费降低等获益考量值得进一步研究。目的:比较4种不同侧路椎间融合内固定方式的生物力学特性。方法:建立正常L3-5有限元模型,在验证其有效性基础上模拟4种不同内固定方式,即后路双侧椎弓根螺钉+侧路融合模型(Model A)、后路单侧椎弓根螺钉+侧路融合模型(Model B)、侧路双侧螺钉+侧路融合模型(Model C)及侧路单侧螺钉+侧路融合模型(Model D)。分别比较各模型在生理活动范围下的稳定性、螺钉内固定和椎间融合器的应力差异。结果与结论:①对所有重构模型,在融合节段(L4-5)的活动范围均显著下降,Model A的活动范围下降更明显;②在模型的屈伸、侧屈和轴向旋转运动状态,侧路置钉的峰值应力与后路置钉的峰值应力的差异分别超过67.74 MPa、80.10 MPa和43.95 MPa;③在不同重建模型内固定应力分布方面,Model A和Model B螺钉的应力分布主要集中在椎弓根螺钉的体部,而Model C和Model D的峰值应力主要集中在螺钉的尾部;④提示Model A能够获得最好的稳定性,并且能够降低cage下沉及移位的风险;而Model B亦能够提供较好的稳定性,在保证稳定和固定的前提下能成为侧路融合的替代选择;⑤此外在选择侧路置钉的内固定时,Model C能获得与Model D相似的效果,但在临床诊疗上面对腰椎后伸不稳定的患者需谨慎选择侧路的单侧内固定,亦应避免过度后伸以降低螺钉松动和疲劳断裂的发生率。

新型棘突间撑开融合装置BacFuse修复腰椎退行性病的生物力学特征

背景:近年来,棘突间撑开融合装置BacFuse应用于腰椎退行性疾病的治疗并取得了良好的临床疗效,但目前其相关的生物力学特征暂无相关报道。目的:探索棘突间撑开融合装置BacFuse在腰椎退行性疾病中应用的生物力学特征。方法:构建山羊离体脊柱模型(L_(1)-L6),模拟手术分为4组,分别为对照组、BacFuse固定组(L_(3/4))、钉棒固定组(L_(3/4))及Topping-off组(L_(3/4)钉棒固定+L_(2/3)BacFuse固定)。搭建山羊腰椎手术模型力学测试系统,采用生物力学机器进行力学加载,模拟腰椎在前屈、后伸、侧屈及旋转时的运动模式(4 Nm的力矩),采用视觉追踪系统进行定位捕捉,并完成力学及光学校准,通过计算得出L_(2/3)、L_(3/4)、L_(4/5)节段的活动度。结果与结论:①相对于对照组,BacFuse组L_(3/4)固定节段在前屈、后伸、侧屈与旋转方向上活动度分别减少27.27%,70%,38.1%及23.08%(P<0.05);钉棒固定组L_(3/4)固定节段在前屈、后伸、侧屈与旋转方向上活动度分别减少72.73%,80%,71.43%及73.08%(P<0.05)。②相对于对照组,BacFuse组邻近节段L_(2/3)在后伸、侧屈及旋转方向上分别增加33.33%,25%及23.81%(P<0.05),前屈活动未见明显变化;钉棒固定组的邻近节段L_(2/3)在前屈、后伸、侧屈与旋转方向上的活动度分别增加50%,44.44%,50%及58.96%(P<0.05);③相对于对照组,BacFuse组邻近节段L_(4/5)在后伸、旋转方向上分别增加27.3%,17.39%(P<0.05),前屈、侧屈活动未见明显变化;钉棒固定组的邻近节段L_(4/5)在前屈、后伸、旋转方向上的活动度分别增加38.89%,22.73%及26.09%(P<0.05),侧屈活动未见明显变化;④与钉棒固定组相比,Topping-off组L_(2/3)椎间活动度在前屈、后伸、侧屈、旋转分别减少37.04%,73.08%,56.67%及38.46%(P<0.05);与钉棒固定组相比,Topping-off组L_(4/5)节段椎间活动度在前屈方向上减少20%(P<0.05),后伸、侧屈及旋转未见明显区别;⑤提示BacFuse能够显著减少置入节段的活动度,提供一定的稳定性;相对于钉棒固定,仍然保留有较多的活动度,可减少对邻近节段的影响,同时可用于钉棒固定的Topping-off技术,显著减少了邻近节段的活动度,降低邻近节段退变的风险。

Effect of cervical spine surgery on the biomechanics of the cervical spine

In clinical practice,cervical spine surgery inevitably alters the original physiological structure of the cervical spine,thus causing changes in the original biomechanical properties of the cervical spine.The biomechanical properties of the cervical spine are particularly significant as it is an essential structure that supports the head and connects the trunk.Different cervical spine surgery options can have different effects on the biomechanics of the cervical spine.Therefore,this review will discuss recent research advances on the effects of cervical spine surgery on cervical spine biomechanics.We hope that this review will provide some theoretical basis for future studies on the biomechanical effects of cervical spine surgery on the cervical spine.

有限元法分析老年骨质疏松患者L_(3/4)椎板减压椎间融合的力学性能

背景:老年骨质疏松患者同时罹患高位腰椎间盘突出的发病人数逐年增加,行常规后入路椎板减压及椎间融合术后腰椎整体力学强度及邻近椎体的生物力学性能改变尚未明确。有限元分析方法以其无创、可重复性高、结果精确等优势在生物力学领域具有重要价值。目的:基于有限元分析方法,针对老年骨质疏松患者的特定人群,建立L_(3/4)椎板减压椎间融合的有限元模型,评估弯腰动作下骨骼内固定复合体的生物力学情况。方法:利用Mimics 21.0提取脊柱CT的DICOM数据建立腰椎(T_(12)-L_(5))三维骨性结构,导入Geomagic wrap 2017,通过重划网格、删除钉状物、剪切模型、填充空洞、探测并编辑轮廓线、构造曲面片及格栅、拟合曲面等操作建立L_(3/4)全椎板减压模型。利用Solidworks 2017构建椎弓根螺钉、连接杆、椎间融合器,将其组装于L_(3/4)全椎板减压模型,通过拉伸、等距曲面、移动与复制实体等操作建立椎间盘、关节突软骨等结构。应用ANSYS Workbench 17.0进行材料赋值、模拟脊柱韧带、网格划分、施加作用力及限定边界条件,建立完整骨质疏松性L_(3/4)椎板减压及椎间融合脊柱有限元模型。观察弯腰工况下L_(3/4)椎板减压及椎间融合全腰椎有限元模型的应力、应变及位移云图。结果与结论:(1)应力云图方面:T_(12)-L_(1)椎体平均应力值最高,L_(2)下降24%,L_(3)下降55%,L_(4-5)下降约80%;L_(4/5)关节突区域应力集中程度最高,L_(2/3)次之,L_(1/2)及T_(12)/L_(1)程度轻;螺钉与连接杆交界处应力集中明显,螺钉在椎弓根进出口处次之;(2)应变与位移云图方面:L_(4/5)及L_(2/3)关节突的应变程度最高,T_(12)/L_(1)及L_(1/2)的应变程度次之,L_(3/4)节段融合器、椎弓根螺钉及连接杆无任何可见变形;各节段椎间盘均出现较大变形;(3)提示多软件协同操作可顺利构建老年骨质疏松性L_(3/4)椎板减压及椎间融合脊柱有限元模型;老年腰椎术后患者可耐受前屈动作,证实L_(3/4)椎板减压及椎间融合能够维持脊柱形态并保证脊柱稳定性,但是需警惕胸腰椎应力性骨折及邻椎病的发生。

膝关节骨性关节炎轻症患者膝关节三维有限元建模及力学分析

目的:在缺少层厚较薄的CT和MRI数据的情况下建立膝关节骨性关节炎(KOA)轻症患者膝关节三维有限元模型,并研究胫骨平台内外侧的应力分布。方法:以一名患有轻度KOA的女性患者为研究对象,自盆骨至腓骨胫骨远端进行连续断层扫描。将得到的DICOM格式文件导入至Mimics软件中并通过阈值分割提取膝关节中的骨性结构,将提取出的骨骼进行蒙版编辑、空腔填充、区域增长等操作后导入3-matic中做光顺、包覆处理。在Geomagic Wrap将处理后的骨性结构使用网格医生检查,修复表面缺陷并拟合曲面。以轮廓延展的思路建立相关的软骨、半月板和韧带,并在SolidWorks中以原点重合的方式与骨性结构进行装配。接下来在ANSYS软件中定义材料、设置接触、划分网格、设置约束和载荷,分析在双腿站立下胫骨平台上的应力分布情况。结果:成功建立了包括骨性结构、软骨、韧带的完整膝关节模型。在双腿站立状态下,接触应力峰值约为1.21 MPa,位于胫骨平台内侧中部,胫骨平台外侧的最大应力为0.72 MPa,内外侧间室分别承担总载荷的62.7%和37.3%。结论:通过CT提取加软件绘制的方式建立了全膝关节模型,有限元分析结果符合临床预期,通过此方法建立的模型可靠,能进行后续的研究。

基于筋骨理论对青少年颈痛的临床新思考

青少年颈痛症状类似于成人颈椎病,但其病理改变并不完全符合颈椎椎间盘退变。因此,应积极探索更符合其临床特点的病因学和病理学理论,实现临床对青少年颈痛的有效诊断与治疗。在石氏伤科百年治伤临床经验和最新科学研究认识的基础上,探讨青少年颈痛的诊断名称和基于“筋骨合和”理论的病因病机,并针对颈部“筋出槽、骨错缝”核心病机建立“四以相和”的诊治策略。