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• W3118018595 endingPage "e0244571" @default.
• W3118018595 startingPage "e0244571" @default.
• W3118018595 abstract "Recently, various designs and material manufactured interspinous process devices (IPDs) are on the market in managing symptomatic lumbar spinal stenosis (LSS). However, atraumatic fracture of the intervening spinous process has been reported in patients, particularly, double or multiple level lumbar decompression surgery with IPDs. This study aimed to biomechanically investigate the effects of few commercial IPDs, namely DIAM TM , Coflex TM , and M-PEEK, which were implanted into the L2-3, L3-4 double-level lumbar spinal processes. A validated finite element model of musculoskeletal intact lumbar spinal column was modified to accommodate the numerical analysis of different implants. The range of motion (ROM) between each vertebra, stiffness of the implanted level, intra stress on the intervertebral discs and facet joints, and the contact forces on spinous processes were compared. Among the three implants, the Coflex system showed the largest ROM restriction in extension and caused the highest stress over the disc annulus at the adjacent levels, as well as the sandwich phenomenon on the spinous process at the instrumented levels. Further, the DIAM device provided a superior loading-sharing between the two bridge supports, and the M-PEEK system offered a superior load-sharing from the superior spinous process to the lower pedicle screw. The limited motion at the instrumented segments were compensated by the upper and lower adjacent functional units, however, this increasing ROM and stress would accelerate the degeneration of un-instrumented segments." @default.
• W3118018595 created "2021-01-05" @default.
• W3118018595 creator A5001815950 @default.
• W3118018595 creator A5026765588 @default.
• W3118018595 creator A5049730025 @default.
• W3118018595 creator A5091244876 @default.
• W3118018595 date "2020-12-30" @default.
• W3118018595 modified "2023-09-26" @default.
• W3118018595 title "Effect of different designs of interspinous process devices on the instrumented and adjacent levels after double-level lumbar decompression surgery: A finite element analysis" @default.
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• W3118018595 doi "https://doi.org/10.1371/journal.pone.0244571" @default.
• W3118018595 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7773253" @default.
• W3118018595 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33378405" @default.
• W3118018595 hasPublicationYear "2020" @default.
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