评估滑脱融合术后肌肉损伤引起的相邻节段术前和术后生物力学变化：开放手术与微创手术的肌肉骨骼模型

IF 1.6 4区医学 Q3 COMPUTER SCIENCE, INTERDISCIPLINARY APPLICATIONS

Computer Methods in Biomechanics and Biomedical Engineering Pub Date : 2025-09-01 DOI:10.1080/10255842.2025.2552432

Sajad Azizi, Mohammad Nikkhoo, Mostafa Rostami, Chi-Chien Niu, Chih-Hsiu Cheng

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引用次数: 0

摘要

本研究使用肌肉骨骼模型和31例L4-L5融合术患者的体内数据，比较了传统开放手术（COS）和微创手术（MIS）治疗腰椎滑脱的生物力学影响。分析了模拟肌肉损伤的术前和术后情况，重点是运动学、肌肉力和邻近节段负荷。两种方法都改变了腰骶参数，但COS导致更大的腰盆腔节律降低（60%对14%），主要是由于躯干屈曲减少。MIS增加了多裂肌的贡献，减少了相邻的负荷，尽管它增加了上节段的被动力矩和压缩。结果表明，与COS相比，MIS能更好地保持力学稳定性和良好的生物力学性能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Assessment of pre- and post-operative biomechanical changes at adjacent levels induced by muscle damage following spondylolisthesis fusion: musculoskeletal modeling of open vs. minimally invasive surgery.

This study compared biomechanical impacts of conventional open surgery (COS) and minimally invasive surgery (MIS) for spondylolisthesis using a musculoskeletal model with in-vivo data from 31 patients undergoing L4-L5 fusion. Pre- and post-operative conditions with simulated muscle injury were analyzed, focusing on kinematics, muscle forces, and adjacent segment loading. Both methods altered lumbosacral parameters, but COS caused greater lumbar-pelvic rhythm reduction (60% vs. 14%), largely due to decreased trunk flexion. MIS showed increased multifidus contribution and reduced adjacent loading, though it raised upper segment passive moment and compression. Findings suggest MIS better preserves stability and favorable biomechanics than COS.

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来源期刊

Computer Methods in Biomechanics and Biomedical Engineering 工程技术-工程：生物医学

CiteScore

4.10

自引率

6.20%

发文量

179

审稿时长

4-8 weeks

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.