{"title":"Biomechanical modeling and assessment of patient positioning to facilitate spinal deformity instrumentation.","authors":"Xiaoyu Wang, Guillaume Imbleau-Chagnon, Christiane Caouette, A Noelle Larson, Carl-Eric Aubin","doi":"10.1080/10255842.2025.2470796","DOIUrl":null,"url":null,"abstract":"<p><p>Finite element models (FEM) were built based on clinical documentation of five AIS surgical cases to simulate patient positioning and spinal instrumentation. Various patient positioning and instrumentation configurations were simulated, and the associated corrections and screw pull-out forces were analyzed. Patient prone-positioning resulted in Cobb angle reduction of over 5°. Vertical, caudal, and cephalad displacement of thoracic cushions had significant impact on thoracic kyphosis. Pelvic rotation through lower-limb extension/flexion had significant effect on lumbar lordosis. The validated FEM enabled simulations of patient positioning and spinal instrumentation. Patient positioning configurations had significant effects on deformity correction and screw pull-out forces.</p>","PeriodicalId":50640,"journal":{"name":"Computer Methods in Biomechanics and Biomedical Engineering","volume":" ","pages":"1-10"},"PeriodicalIF":1.7000,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Computer Methods in Biomechanics and Biomedical Engineering","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1080/10255842.2025.2470796","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS","Score":null,"Total":0}
引用次数: 0
Abstract
Finite element models (FEM) were built based on clinical documentation of five AIS surgical cases to simulate patient positioning and spinal instrumentation. Various patient positioning and instrumentation configurations were simulated, and the associated corrections and screw pull-out forces were analyzed. Patient prone-positioning resulted in Cobb angle reduction of over 5°. Vertical, caudal, and cephalad displacement of thoracic cushions had significant impact on thoracic kyphosis. Pelvic rotation through lower-limb extension/flexion had significant effect on lumbar lordosis. The validated FEM enabled simulations of patient positioning and spinal instrumentation. Patient positioning configurations had significant effects on deformity correction and screw pull-out forces.
期刊介绍：
The primary aims of Computer Methods in Biomechanics and Biomedical Engineering are to provide a means of communicating the advances being made in the areas of biomechanics and biomedical engineering and to stimulate interest in the continually emerging computer based technologies which are being applied in these multidisciplinary subjects. Computer Methods in Biomechanics and Biomedical Engineering will also provide a focus for the importance of integrating the disciplines of engineering with medical technology and clinical expertise. Such integration will have a major impact on health care in the future.
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