| 研究生: |
楊璦菁 Yang, Ai-Jing |
|---|---|
| 論文名稱: |
椎弓斷裂之脊椎滑脫對鄰近節影響之有限元素分析 A Finite Element Study to Evaluate the Biomechanical Effect of Adjacent Vertebral Segment after Spondylolytic Spondylolisthesis |
| 指導教授: |
胡宣德
Hu, Hsuan-Teh |
| 共同指導教授: |
黃國淵
Huang, Kuo-Yuan |
| 學位類別: |
碩士 Master |
| 系所名稱: |
工學院 - 土木工程學系 Department of Civil Engineering |
| 論文出版年: | 2010 |
| 畢業學年度: | 98 |
| 語文別: | 中文 |
| 論文頁數: | 93 |
| 中文關鍵詞: | 脊椎 、腰薦角 、滑脫等級 、有限元素 |
| 外文關鍵詞: | spine, lumbosacral angle, Meyerding levels, finite element |
| 相關次數: | 點閱:62 下載:1 |
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據統計有超過八成的成年人發生過背痛,其原因大部分來自腰部的病變,在醫學臨床上,有一種常見的疾病為脊椎解離症。脊椎解離症約有90%發生在第五腰椎。當第五節腰椎椎弓產生斷裂一開始為脊椎解離,其使患者移動性及活動性降低,進而發展為脊椎滑脫,產生脊椎體的不穩定。在我們人體脊柱體發生脊椎滑脫後,會使得L5~S1椎間盤及椎間關節承受到較大的力,加上身體的重量和脊椎的活動,長期下來會造成椎間盤含水量降低,使椎間盤高度下降,產生椎間退化的情形。
是故配合醫學實務上之需求,本研究的目的就在於針對在不同腰薦角下、不同滑脫等級(採用Meyerding 分類方式),探討在不同運動情形下的椎間盤最大應力、椎間轉角及應變能之分佈,以期在脊椎病變治療上針對不同病人有更正確的治療方向,以利醫學研究。
而在有限元素模型的建立方面則依照本研究團隊先前所使用的方法,由電腦斷層掃描(CT)取得DICOM檔,接著由醫學影像軟體3DDoctor處理堆疊成STL檔,再交由MSC.Patran有限前處理軟體建立實體模型,最後由ABAQUS有限元素軟體求解。
According to statistics, backache occurr in more then 80% adults and most of the lesions come from the waist. In clinic, a common spinal disease is spondylolysis. About 90% of spondylolysis occurs in the fifth lumbar vertebra. The fifth lumbar vertebra (L5) pars starting fracture is called spondylolysis. That causes patients with reduced mobility and activity and to develop spondylolisthesis, resulting in vertebral instability. Spondylolisthesis will allow L5 ~ S1 disc and the intervertebral joints (facet joint) to bear a larger force under the body weight and the activities of the spine. Over the time, it will cause the water content of the disc to decrease, so that the disc height decreases, resulting in the case of intervertebral disk degeneration.
Therefore, coordinating with the demand of medical practice, the purpose of this study is targeted at different lumbosacral angle, different Meyerding levels, the effects of different exercise conditions the maximum stress under the disc, intervertebral angle and the strain energy distribution, with a view to the treatment of spinal disease patients for different treatment of the right direction more to facilitate medical research.
In the finite element model of side research team in accordance with the method used previously by computed tomography (CT) to achieve DICOM file, followed by a stack of medical image processing software 3DDoctor into STL files are then referred to MSC.Patran pre-processing software to create solid model, and finally solved by the ABAQUS finite element program.
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