A biomechanical study of T12-L2 in thoracolumbar region of spine affected by tuberculosis

Pott’s disease or tuberculosis spondylitis is the occurrence of tuberculosis in spine. It is caused by mycobacterium tuberculosis. Due to this infection vertebral compression fracture occurs leading to collapse of the vertebral column resulting in kyphosis. Tuberculosis mostly affects the thoracolumbar region (T12-L2) of spine. Several minimally invasive surgeries are available to treat the fractured vertebra. After the treatment subsequent adjacent fractures occur in certain people. This study deals with the biomechanical behavior of tuberculosis affected vertebrae after fracture. The surface model of T12-L2 spine segment of the thoracolumbar region is to be segmented from CT scan data of a healthy subject using MIMICS. The obtained surface model is meshed and analysis is carried out using Ansys and validated with literature. The validated model is modified to tuberculosis condition to study the biomechanical behaviour of affected vertebrae in comparing with healthy model.

[1]  M. Todo,et al.  Biomechanical Study of Vertebral Compression Fracture Using Finite Element Analysis , 2017 .

[2]  Aikeremujiang Muheremu,et al.  Establishment of a three-dimensional finite element model of severe kyphotic deformity secondary to ankylosing spondylitis , 2017, The Journal of international medical research.

[3]  Zheng-Cheng Zhong,et al.  Preserving Posterior Complex Can Prevent Adjacent Segment Disease following Posterior Lumbar Interbody Fusion Surgeries: A Finite Element Analysis , 2016, PloS one.

[4]  Huilin Yang,et al.  Bone cements for percutaneous vertebroplasty and balloon kyphoplasty: Current status and future developments , 2014, Journal of orthopaedic translation.

[5]  G. Sun,et al.  Analysis of risk factors of subsequent fractures after vertebroplasty , 2014, European Spine Journal.

[6]  A Rohlmann,et al.  Comparison of eight published static finite element models of the intact lumbar spine: predictive power of models improves when combined together. , 2014, Journal of biomechanics.

[7]  M. Moon Tuberculosis of Spine: Current Views in Diagnosis and Management , 2014, Asian spine journal.

[8]  Yoon Hyuk Kim,et al.  Effects of degenerated intervertebral discs on intersegmental rotations, intradiscal pressures, and facet joint forces of the whole lumbar spine , 2013, Comput. Biol. Medicine.

[9]  M. McGirt,et al.  Vertebral compression fractures: a review of current management and multimodal therapy , 2013, Journal of multidisciplinary healthcare.

[10]  S. Rajasekaran Kyphotic deformity in spinal tuberculosis and its management , 2012, International Orthopaedics.

[11]  R. Garg,et al.  Spinal tuberculosis: A review , 2011, The journal of spinal cord medicine.

[12]  Wei Yuan,et al.  Risk of post‐vertebroplasty fracture in adjacent vertebral bodies appears correlated with the morphologic extent of bone cement , 2011, Journal of the Chinese Medical Association : JCMA.

[13]  A. Jain Tuberculosis of the spine: a fresh look at an old disease. , 2010, The Journal of bone and joint surgery. British volume.

[14]  L. Cao,et al.  Three-dimensional finite element analysis of lumbar vertebra loaded by static stress and its biomechanical significance. , 2009, Chinese journal of traumatology = Zhonghua chuang shang za zhi.

[15]  Kunwoo Lee,et al.  Biomechanical study of lumbar spine with dynamic stabilization device using finite element method , 2007, Comput. Aided Des..

[16]  C. Watanakunakorn,et al.  Tuberculosis of the spine (Pott's disease) presenting as ‘compression fractures’ , 2002, Spinal Cord.

[17]  Ankylosing Spondylitis,et al.  THE JOURNAL OF BONE AND JOINT SURGERY , 2006 .

[18]  A. P. Patankar Tuberculosis of spine: An experience of 30 cases over two years , 2016, Asian journal of neurosurgery.

[19]  C. Jebaraj,et al.  Finite Element Study of Collapse of Pediatric Spine Due to Tuberculosis of Spine , 2010 .

[20]  A. Jain Tuberculosis of the spine: a fresh look at an old disease. , 2010, The Journal of bone and joint surgery. British volume.

[21]  C. Jebaraj,et al.  Finite Element Modeling of Thoracolumnar Spine for Investigation of TB in Spine , 2009 .