椎间盘的计算机辅助组织工程设计

P. Evans, B. Starly, W. Sun
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引用次数: 0

摘要

随着年龄的增长,椎间盘退变已被证明是老年人疼痛和不适的一个重要来源,导致脊柱椎间关节的活动能力和功能下降。目前椎间盘退变疾病的治疗主要集中在通过椎体融合固定椎-椎间盘-椎体界面,从而限制和稳定椎间运动,减少与椎间盘退变运动相关的疼痛。其他治疗包括完全置换椎间盘,在不减少活动范围的情况下恢复脊柱功能。然而,这两种治疗方式的长期效果并不令人满意,需要一种新的方法来修复退变的椎间盘。本研究中使用的方法是开发具有在腰椎环境中发挥作用所需的机械特性的椎间盘,同时将支架结构纳入植入物设计中。与目前使用的方法相比,该方法将为组织工程提供机械稳定的基础结构,允许开发具有改善长期特性的植入物,并且由于将细胞纳入椎间盘结构而增强了椎体固定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Computer aided tissue engineering design for a spinal intervertebral disc
Degeneration of the intervertebral disc with age has been shown to be a significant source of pain and discomfort in the elderly, resulting in decreased mobility and functionality of the intervertebral joints of the spine. Current treatments of disc degeneration disease have focused on the fixation of the vertebra-disc-vertebra interface by fusing the vertebra together, thus limiting and stabilizing the intervertebral motion, reducing the pain associated with degenerated disc motion. Other treatments have consisted of entirely replacing the intervertebral disc, restoring function to the spine without reducing the range of motion. However, the long term results of these two forms of treatment have been less than satisfactory, demanding a new approach to repair degenerated intervertebral discs. The approach used in this study is to develop an intervertebral disc with the mechanical characteristics necessary to function in the lumbar spine environment, while incorporating a scaffold structure into the implant design. This approach will provide a mechanically stable base structure for tissue engineering, allowing for the development of an implant with improved long term characteristics, and enhanced vertebral fixation due to the incorporation of cells into the disc structure, as compared to the currently used methods.
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