{"title":"Biomechanical analysis and optimization of gradient porous TPMS-based cervical fusion cage: a finite element study.","authors":"Tianxiang Dong, Wei Jiang, Fulin Zhao","doi":"10.1080/10255842.2025.2551844","DOIUrl":null,"url":null,"abstract":"<p><p>Anterior Cervical Discectomy and Fusion (ACDF) often suffers from cage subsidence, compromising alignment and causing postoperative pain. To address this, we propose a gradient porous titanium alloy fusion cage based on Triply Periodic Minimal Surface (TPMS) structures and variable-density topology optimization. Using a Gyroid microstructure, the design was evaluated in an ACDF C4-C5 model. Compared with solid cages, the optimized design reduced maximum contact stress on the C5 superior surface by 25.6% and improved normal strain by up to 19.2%, demonstrating reduced subsidence risk and preserved biomechanical stability.</p>","PeriodicalId":50640,"journal":{"name":"Computer Methods in Biomechanics and Biomedical Engineering","volume":" ","pages":"1-12"},"PeriodicalIF":1.6000,"publicationDate":"2025-08-28","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/10.1080/10255842.2025.2551844","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
Anterior Cervical Discectomy and Fusion (ACDF) often suffers from cage subsidence, compromising alignment and causing postoperative pain. To address this, we propose a gradient porous titanium alloy fusion cage based on Triply Periodic Minimal Surface (TPMS) structures and variable-density topology optimization. Using a Gyroid microstructure, the design was evaluated in an ACDF C4-C5 model. Compared with solid cages, the optimized design reduced maximum contact stress on the C5 superior surface by 25.6% and improved normal strain by up to 19.2%, demonstrating reduced subsidence risk and preserved biomechanical stability.
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.