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      Pediatric Solid-State 3D Models of Lumbar Vertebrae and Spine

      research-article
      1 , 2 ,
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      Cureus
      Cureus
      virtual reality, medical education, lumbar spine, solid-state 3d models, pediatric lumbar vertebrae

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          Abstract

          Introduction

          While various 3D vertebral models have been utilized in numerous studies, there is a notable gap in the representation of pediatric lumbar vertebrae and spine. This study aimed to describe the changing shapes of lumbar vertebrae and spine with age and to develop precise 3D models.

          Materials and methods

          Solid-state 3D models of pediatric lumbar vertebrae and spine were created using SOLIDWORKS® Simulation software for five age groups: newborns, infants (ages 0-1), toddlers (ages 1-3), middle childhood (ages 4-7), and preadolescents (ages 8-12). Models were composed of components with varying biomechanical characteristics.

          Results

          Created 3D models replicate variations in the dimensions and configurations of vertebrae, taking into account osteometric analyses conducted on actual vertebral specimens. These models also include elements made of cartilage, representing various phases of vertebral growth during ontogeny. Additionally, through 3D parametric design, we developed comprehensive lumbar spine models, incorporating both the vertebrae and intervertebral disks.

          Conclusion

          Created pediatric solid-state vertebral 3D models can be utilized in developing virtual or augmented reality applications and for medical research. Users can interact with models, allowing virtual exploration and manipulation, enhancing learning experiences and facilitating a better understanding of spatial relationships. These solid-state 3D models allow finite element analysis and can be used for further research to calculate internal relative deformations and stress distribution under different conditions.

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          Most cited references28

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          Biomechanical comparison between fusion of two vertebrae and implantation of an artificial intervertebral disc.

          Surgical treatments for lower back pain can be distributed into two main groups: fusion (arthrodesis) and disc replacement (arthroplasty). The objective of this study was to compare, under severe loading conditions, the biomechanics of the lumbar spine treated either by fusion or total disc replacement (TDR). A three-dimensional model of a two-level ligamentous lumbar segment was created and simulated through static analyses with the finite-element method (FEM) software ABAQUS. The model was validated by comparing mobility, pressure on the facets, force in the ligaments, maximum stresses, disc bulge, and endplate deflection with measured data given in the literature. The FEM analysis predicted that the mobility of the model after arthrodesis on the upper level was reduced in all rotational degrees of freedom by an average of approximately 44%, relative to healthy normal discs. Conversely, the mobility of the model after TDR on the upper level was increased in all rotational degrees of freedom by an average of approximately 52%. The level implanted with the artificial disc showed excessive ligament tensions (greater than 500 N), high facet pressures (greater than 3 MPa), and a high risk of instability. The mobility and the stresses in the level adjacent to the arthroplasty were also increased. In conclusion, the model for an implanted movable artificial disc illustrated complications common to spinal arthroplasty and showed greater risk of instability and further degeneration than predicted for the fused model. This modeling technique provides an accurate means for assessing potential biomechanical risks and can be used to improve the design of future artificial intervertebral discs.
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            Applying a follower load delivers realistic results for simulating standing.

            The exact loads acting on the lumbar spine during standing remain hitherto unknown. It is for this reason that different loads are applied in experimental and numerical studies. The aim of this study was to compare intersegmental rotations, intradiscal pressures and facet joint forces for different loading modes simulating standing in order to ascertain, the results for which loading modes are closest to data measured in vivo. A validated osseoligamentous finite element model of the lumbar spine ranging from L1 to the disc L5-S1, was used. Six load application modes were investigated as to how they could simulate standing. This posture was simulated by applying a vertical force of 500 N at the centre of the L1 vertebral endplate with different boundary conditions, by applying a follower load, and by applying upper body weight and muscle forces. The calculated intersegmental rotations and intradiscal pressures were compared to in vivo values. Intersegmental rotations at one level vary by up to 8 degrees for the different loading modes simulating standing. The overall rotation in the lumbar spine varies between 2.2 degrees and 19.5 degrees. With a follower load, the difference to the value measured in vivo is 3.3 degrees. For all other loading cases studied, the difference is greater than 6.6 degrees. Intradiscal pressures vary slightly with the loading mode. Calculated forces in the facet joints vary between 0 and nearly 80 N. Applying a follower load of 500 N is the only loading mode simulating standing for which the calculated values for intervertebral rotations and intradiscal pressures agreed well with in vivo data from literature.
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              Effectiveness of personalized 3D printed models for patient education in degenerative lumbar disease

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                Author and article information

                Journal
                Cureus
                Cureus
                2168-8184
                Cureus
                Cureus (Palo Alto (CA) )
                2168-8184
                24 April 2024
                April 2024
                : 16
                : 4
                : e58938
                Affiliations
                [1 ] Anatomy and Genetics, College of Medicine Alfaisal University, Riyadh, SAU
                [2 ] Anatomical Sciences, College of Medicine Alfaisal University, Riyadh, SAU
                Author notes
                Article
                10.7759/cureus.58938
                11124468
                38800205
                d0a486b1-ab96-4306-9271-72e3889f18cc
                Copyright © 2024, Bolgova et al.

                This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 24 April 2024
                Categories
                Anatomy
                Pediatrics
                Orthopedics

                virtual reality,medical education,lumbar spine,solid-state 3d models,pediatric lumbar vertebrae

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