Review Article

Corrective Mechanism Aftermath Surgical Treatment of Spine Deformity due to Scoliosis: A Systematic Review of Finite Element Studies

Table 3

Variables of FEA studies on the corrective mechanism of spine deformity.

AuthorsSoftware(s)Element typeGeometrical modelLoading and boundary conditionsType of materialMechanical properties

Dumas et al. [10]Ansys 6.0.(i) Vertebra: beam element (ii) pelvic: beam element (iii) ligament: tension-only cable elements (iv) articular facets: surface contact elementA patient-specific FE model of interverbal disc constructed from CT image.Displacement: between the bending test measurements and the standing position measurements, 3D motion of T1 in relation to the pelvis was estimated.Screws and rod: elastoplastic materials(i) Augmented bending stiffness (about ) from T5 to T9; (ii) augmented torsion stiffness (about ) from T6 to L5
Abolaeha et al. [12]Abaqus 6.11-1(v) Vertebral and intervertebral disc: linear hexahedral
(vi) Hooks and screw: quadratic tetrahedral element
A previous patient-specific FE model of vertebral and interverbal disc constructed from X-ray image and CT scanDuring the loading and spine growth simulation processes, the inferior extremity of L5 was constrained in all degrees of freedom. Each vertebra is subjected to a dispersed load.Rod: stainless steel
Salmingo et al. [1]Computed tomography (CT), Solidworks 2010, ANSYS 11.010 node tetrahedral solid elementsA patient-specific FE model of spine constructed from CT image.Forces, set with initial values. The coordinates of the screws were rearranged so that the most superior screw is parallel to the -axis.Rod: titanium alloy (JIS T 7401-3) yield stress yield strain hardening coefficient
Wang et al. [13]Radiographic software, ADAMS 2005 software (Mechanical Dynamics)NMPreviously developed FE model of thoracic spine.NMPedicle screw: titanium rod: titanium is 15 to 20 times higher than that of spinal cortical bone.
Driscoll et al. [6]ANSYS 130.0 APDLNMA patient-specific FE model of vertebral and interverbal disc constructed from CT image.To regulate and measure movement, all bodies assigned multiple coordinate systems centred on their geometric centre of mass.Screw: titanium (Ti 6Al-4 V, grade 5) rod: cobalt chromePedicle screw:
Rod:
Salmingo et al. [2]Solidworks 2010, ANSYS 11.010 node tetrahedral solid elementsThree-dimensional FE model of rod geometries before surgery.Before surgery. Zero force ( of screws) was applied to the corresponding location of each screw on the rod geometry.Polyaxially pedicle screws and implant rods: titanium
Yield stress
Yield strain
Hardening coefficient
Little et al. [3]Computed tomography (CT), ABAQUS 6.9-1, Python 2.5(i) Screw: 8 node brick
(ii) Rod: 8 node brick and 2 node rigid beam
A patient-specific FE model with ribcage and Osseo ligamentous spineA “no separation” normal contact and frictionless tangential contact definition were defined between the both surface of the rod and the screw head.Screw: titanium alloy
Rod: titanium alloy
Screw:
Rod:
Coulomb friction,
Abe et al. [14]Solidworks 2010, Aquilion 64 CT scanner, ANSYS 11.010 node tetrahedral solid elementsA patient-specific model of rod geometry constructed from CT image.NMRod: titanium rod (Ti6Al7Nb)


Hardening coefficient
Wang et al. [15]Computed tomography (CT), ANSYS ICEM-CFDHexahedron elementA patient-specific FE model of the spine constructed from CT image.
-Thoracic spine, the lumbar spine and sacrum.
The upper lamina terminals of T1 were subjected to a fixed loading force of 300 N, which simulated upper body gravity.Pedicle screw and rod elastoplastic materialsLigaments elasticity coefficient
Anterior longitudinal,
Posterior longitudinal, , interspinous, , ligamentum flava,
Supraspinal.
Clin et al. [16]ANSYS 14.5NMA patient-specific FE model of the spine to pelvisNMScrew: titanium alloy
Rod: cobalt chrome

Balamurugan et al. [17]MIMICS 14.0 software, ANSYS 18.0NMA patient-specific FE model of thoracolumbar constructed from CT imageAll degrees of freedom were limited in the L5 vertebra. Assuming the patient’s weight is 800 N (80 kg), apply a compressive force of 50 N all along -axis to T1. Vertebra.Rod: titaniumCortical bone:

Bone posterior:
Guan et al. [18]Materialise mimics 19.0, Leuven, Abaqus,Hexahedral elastic elementsA patient-specific FE model of the thoracic spine lumbar vertebrae constructed from CT imageT1 was limited to transverse plan movements.Elastoplastic spine modelPosterior structure:

Zhang et al. [9]Solidworks 2020, Ansys Workbench 19.0Tetrahedral elementsA patient-specific FE model of the lumbar spine constructed from CT imageApply a moment of 10 nm in the planes on the upper surface of the L1 vertebral body to simulate flexion, extension, left and right bending, left and right rotation.Elastoplastic spine modelCortical bone:


Cancellous bone:


Annulus fibrosis:

Nucleus pulposus:
He et al. [11]Mimics 19.0, ANSYS 15.0Solid 187 tetrahedral elementsThree-dimensional finite element (FE) model of intervertebral disc and pedicle screw & rod system (PSRS).500 N applied to the models for directions of flexion, extension, lateral bending, and axial rotationScrew and rod: titanium alloyCortical bone:

Cancellous bone:

Annulus fibrosis:

Titanium alloy:
Chen et al. [19]CT scan, SolidworksNMThree-dimensional finite element (FE) model of the spine from CT, pedicle screw, and rod system.NMRod: titanium alloyCortical bone


Cancellous bone


Note: : Young modulus; : Poisson ratio; : the strength coefficient; NM: Not mentioned.